| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,082 |
1,021 |
$42K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
60 |
58 |
$6K |
| 76830 |
Ultrasound, transvaginal |
99 |
97 |
$3K |
| 74018 |
|
783 |
619 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
148 |
146 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
64 |
60 |
$2K |
| 71250 |
|
71 |
69 |
$1K |
| 76536 |
|
53 |
53 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
38 |
37 |
$951.54 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$399.42 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$62.51 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
22 |
16 |
$0.00 |