| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,057 |
1,006 |
$51K |
| 73610 |
|
1,900 |
1,692 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
5,088 |
4,507 |
$22K |
| 71250 |
|
703 |
669 |
$21K |
| 73630 |
|
1,984 |
1,752 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
3,346 |
3,148 |
$21K |
| 76830 |
Ultrasound, transvaginal |
610 |
568 |
$21K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
407 |
376 |
$18K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
272 |
256 |
$13K |
| 73560 |
|
1,234 |
1,023 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
463 |
460 |
$9K |
| 74018 |
|
1,662 |
1,515 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
130 |
128 |
$8K |
| 76536 |
|
263 |
257 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
263 |
238 |
$8K |
| 73110 |
|
458 |
418 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
58 |
58 |
$5K |
| 73130 |
|
471 |
410 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
90 |
89 |
$4K |
| 73140 |
|
402 |
343 |
$4K |
| 73030 |
|
353 |
324 |
$3K |
| 76770 |
|
70 |
70 |
$2K |
| 72050 |
|
137 |
136 |
$2K |
| 72100 |
|
155 |
148 |
$2K |
| 73502 |
|
289 |
254 |
$2K |
| 71271 |
|
33 |
33 |
$1K |
| 73080 |
|
90 |
83 |
$890.15 |
| 73562 |
|
69 |
62 |
$815.08 |
| 77080 |
|
26 |
25 |
$783.85 |
| 72110 |
|
42 |
41 |
$753.77 |
| 73564 |
|
17 |
17 |
$209.01 |
| 73590 |
|
14 |
12 |
$124.88 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
89 |
83 |
$0.00 |