| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,623 |
2,402 |
$174K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,163 |
2,065 |
$98K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
488 |
466 |
$47K |
| 71045 |
Radiologic examination, chest; single view |
7,460 |
6,214 |
$33K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
272 |
263 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,779 |
1,667 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
240 |
218 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
354 |
346 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
177 |
166 |
$6K |
| 74018 |
|
1,242 |
1,066 |
$6K |
| 73610 |
|
340 |
303 |
$5K |
| 73630 |
|
410 |
374 |
$4K |
| 73560 |
|
327 |
287 |
$3K |
| 73130 |
|
214 |
193 |
$2K |
| 73030 |
|
159 |
147 |
$2K |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$905.51 |
| 72131 |
|
25 |
24 |
$811.98 |
| 73110 |
|
73 |
70 |
$776.84 |
| 71250 |
|
17 |
13 |
$402.04 |
| 72128 |
|
13 |
13 |
$277.44 |
| 73590 |
|
14 |
13 |
$139.75 |
| 73090 |
|
16 |
16 |
$137.25 |
| 73080 |
|
12 |
12 |
$121.67 |
| 72170 |
|
12 |
12 |
$98.22 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
185 |
168 |
$0.00 |