| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,582 |
2,460 |
$98K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
374 |
352 |
$36K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
771 |
731 |
$24K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
314 |
305 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
656 |
640 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
15 |
$786.78 |
| 76830 |
Ultrasound, transvaginal |
24 |
15 |
$785.23 |
| 74018 |
|
104 |
82 |
$459.39 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
16 |
14 |
$318.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
90 |
79 |
$0.00 |