| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
11,161 |
10,665 |
$489K |
| 70450 |
Computed tomography, head or brain; without contrast material |
16,957 |
15,588 |
$343K |
| 71045 |
Radiologic examination, chest; single view |
73,413 |
60,622 |
$338K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,769 |
3,585 |
$187K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
11,446 |
10,568 |
$175K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,796 |
4,736 |
$81K |
| 93970 |
|
1,832 |
1,696 |
$57K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
792 |
772 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,308 |
1,276 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,132 |
1,110 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
579 |
571 |
$12K |
| 76770 |
|
715 |
699 |
$11K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
329 |
314 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
285 |
272 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
212 |
207 |
$9K |
| 74018 |
|
1,922 |
1,688 |
$9K |
| 71250 |
|
432 |
414 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
2,038 |
2,001 |
$7K |
| 73630 |
|
1,728 |
1,642 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
552 |
546 |
$7K |
| 73130 |
|
1,309 |
1,232 |
$6K |
| 73610 |
|
1,313 |
1,280 |
$6K |
| 72100 |
|
746 |
741 |
$5K |
| 73030 |
|
829 |
767 |
$4K |
| 70498 |
|
84 |
82 |
$4K |
| 73560 |
|
888 |
796 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
71 |
71 |
$3K |
| 93971 |
|
270 |
260 |
$3K |
| 76830 |
Ultrasound, transvaginal |
173 |
171 |
$3K |
| 93976 |
|
98 |
96 |
$2K |
| 70496 |
|
54 |
54 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
253 |
248 |
$2K |
| 76882 |
|
71 |
45 |
$883.50 |
| 71010 |
|
126 |
126 |
$797.98 |
| 73110 |
|
178 |
169 |
$778.17 |
| 93975 |
|
12 |
12 |
$667.36 |
| 70486 |
|
32 |
28 |
$650.81 |
| 73562 |
|
166 |
153 |
$590.44 |
| 72170 |
|
99 |
92 |
$356.26 |
| 73590 |
|
71 |
54 |
$348.54 |
| 73502 |
|
58 |
55 |
$336.96 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
12 |
12 |
$322.46 |
| 73090 |
|
25 |
25 |
$125.22 |
| 72040 |
|
14 |
14 |
$90.36 |
| 73070 |
|
13 |
12 |
$60.06 |
| 73140 |
|
24 |
24 |
$31.50 |
| 73620 |
|
13 |
13 |
$25.14 |
| 3342F |
|
50 |
50 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
14 |
13 |
$0.00 |