| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
11,597 |
11,529 |
$593K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
11,340 |
11,306 |
$325K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14,132 |
13,925 |
$291K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
8,602 |
8,579 |
$193K |
| 76830 |
Ultrasound, transvaginal |
7,487 |
7,468 |
$186K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
10,276 |
10,262 |
$164K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
5,292 |
5,026 |
$160K |
| 71046 |
Radiologic examination, chest; 2 views |
23,645 |
23,438 |
$156K |
| 71045 |
Radiologic examination, chest; single view |
30,044 |
23,329 |
$142K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,661 |
2,643 |
$121K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,612 |
3,512 |
$89K |
| 76801 |
|
2,076 |
2,043 |
$81K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,709 |
1,695 |
$77K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,884 |
2,872 |
$51K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,451 |
1,431 |
$49K |
| 73562 |
|
8,417 |
7,422 |
$47K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,715 |
1,700 |
$45K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,188 |
1,151 |
$34K |
| 93975 |
|
639 |
631 |
$26K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
613 |
611 |
$24K |
| 73030 |
|
3,963 |
3,750 |
$22K |
| 73630 |
|
4,211 |
3,921 |
$22K |
| 76642 |
|
973 |
818 |
$20K |
| 73130 |
|
2,628 |
2,387 |
$15K |
| 71250 |
|
564 |
556 |
$13K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
464 |
463 |
$13K |
| 76820 |
|
674 |
645 |
$13K |
| 71271 |
|
407 |
402 |
$11K |
| 73610 |
|
1,653 |
1,594 |
$10K |
| 76813 |
|
196 |
195 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
157 |
157 |
$6K |
| 73502 |
|
895 |
887 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
112 |
107 |
$5K |
| 73110 |
|
643 |
619 |
$4K |
| 36569 |
|
70 |
70 |
$3K |
| 36573 |
|
51 |
49 |
$2K |
| 76770 |
|
105 |
105 |
$2K |
| 77066 |
Tomosynthesis, mammo |
70 |
69 |
$2K |
| 74018 |
|
396 |
352 |
$2K |
| 72100 |
|
293 |
291 |
$2K |
| 93971 |
|
163 |
160 |
$2K |
| 76536 |
|
105 |
105 |
$2K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
84 |
84 |
$2K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
15 |
15 |
$1K |
| 72110 |
|
130 |
129 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
39 |
39 |
$963.41 |
| 77001 |
|
108 |
107 |
$672.16 |
| 72141 |
|
13 |
13 |
$549.81 |
| 77062 |
|
12 |
12 |
$468.75 |
| 76937 |
|
72 |
72 |
$378.36 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$376.92 |
| 93970 |
|
12 |
12 |
$196.16 |
| 76376 |
|
25 |
25 |
$169.45 |
| 73080 |
|
26 |
25 |
$139.49 |
| 74019 |
|
16 |
16 |
$127.82 |
| 73564 |
|
17 |
13 |
$103.05 |
| 73140 |
|
12 |
12 |
$49.16 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
3,292 |
2,518 |
$0.00 |