| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,981 |
6,837 |
$334K |
| 71045 |
Radiologic examination, chest; single view |
26,370 |
22,305 |
$156K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,662 |
4,534 |
$91K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,532 |
1,508 |
$63K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,600 |
1,556 |
$63K |
| 71046 |
Radiologic examination, chest; 2 views |
8,434 |
8,336 |
$62K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,090 |
1,084 |
$28K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,211 |
1,191 |
$27K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,837 |
1,788 |
$24K |
| 74018 |
|
1,780 |
1,573 |
$10K |
| 76830 |
Ultrasound, transvaginal |
503 |
497 |
$9K |
| 71250 |
|
362 |
355 |
$8K |
| 70486 |
|
326 |
324 |
$7K |
| 70496 |
|
120 |
118 |
$5K |
| 70498 |
|
134 |
134 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
147 |
147 |
$4K |
| 76770 |
|
293 |
287 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
174 |
149 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
123 |
123 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
133 |
133 |
$3K |
| 73130 |
|
573 |
565 |
$2K |
| 73564 |
|
379 |
375 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
53 |
53 |
$2K |
| 73610 |
|
506 |
499 |
$2K |
| 73630 |
|
491 |
482 |
$2K |
| 72131 |
|
85 |
84 |
$2K |
| 74174 |
|
30 |
30 |
$2K |
| 73030 |
|
366 |
359 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
82 |
81 |
$1K |
| 73110 |
|
321 |
316 |
$1K |
| 73090 |
|
356 |
345 |
$1K |
| 76536 |
|
69 |
69 |
$1K |
| 93971 |
|
99 |
99 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
28 |
$1K |
| 73590 |
|
293 |
283 |
$1K |
| 73080 |
|
286 |
283 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
16 |
16 |
$1K |
| 76642 |
|
41 |
39 |
$759.33 |
| 73700 |
|
29 |
29 |
$733.54 |
| 93976 |
|
30 |
27 |
$653.25 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
24 |
$644.46 |
| 70491 |
|
13 |
12 |
$576.12 |
| 93975 |
|
12 |
12 |
$513.60 |
| 73060 |
|
126 |
121 |
$450.81 |
| 76801 |
|
12 |
12 |
$450.53 |
| 73552 |
|
66 |
66 |
$406.71 |
| 72100 |
|
66 |
65 |
$382.85 |
| 74019 |
|
54 |
52 |
$361.40 |
| 73502 |
|
26 |
26 |
$169.54 |
| 72110 |
|
25 |
25 |
$153.56 |
| 72170 |
|
43 |
42 |
$147.65 |
| 73562 |
|
25 |
24 |
$113.71 |
| 73560 |
|
27 |
27 |
$94.66 |
| 72040 |
|
14 |
12 |
$54.84 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,905 |
2,724 |
$0.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
30 |
$0.00 |