| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,108 |
1,048 |
$41K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
658 |
612 |
$29K |
| 71045 |
Radiologic examination, chest; single view |
5,372 |
5,072 |
$29K |
| 70450 |
Computed tomography, head or brain; without contrast material |
714 |
671 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
1,913 |
1,854 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
265 |
241 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
74 |
69 |
$2K |
| 93971 |
|
102 |
91 |
$2K |
| 93970 |
|
69 |
64 |
$1K |
| 73630 |
|
56 |
47 |
$359.95 |
| 73610 |
|
31 |
26 |
$196.07 |
| 73130 |
|
32 |
28 |
$181.01 |
| 74018 |
|
42 |
37 |
$170.26 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$169.17 |
| 73030 |
|
21 |
19 |
$129.90 |
| 72100 |
|
12 |
12 |
$113.61 |
| 73502 |
|
13 |
13 |
$80.56 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
16 |
15 |
$0.00 |