| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,024 |
2,028 |
$83K |
| 71045 |
Radiologic examination, chest; single view |
12,822 |
8,976 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
6,462 |
5,131 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,013 |
1,503 |
$27K |
| 93976 |
|
552 |
390 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
502 |
369 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
461 |
353 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
469 |
281 |
$6K |
| 74018 |
|
830 |
608 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
309 |
234 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
116 |
81 |
$2K |
| 71250 |
|
78 |
51 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
212 |
127 |
$890.96 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
46 |
36 |
$861.96 |
| 76376 |
|
243 |
197 |
$842.32 |
| 76642 |
|
47 |
31 |
$832.16 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
26 |
12 |
$778.20 |
| 93975 |
|
23 |
20 |
$461.21 |
| 71271 |
|
15 |
14 |
$403.80 |
| 49083 |
|
70 |
12 |
$188.83 |
| 76770 |
|
58 |
42 |
$103.49 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$101.64 |
| 72100 |
|
94 |
82 |
$73.68 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
792 |
526 |
$0.00 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
21 |
15 |
$0.00 |
| 73610 |
|
86 |
74 |
$0.00 |
| 73030 |
|
52 |
45 |
$0.00 |
| 73630 |
|
103 |
82 |
$0.00 |
| 73590 |
|
16 |
13 |
$0.00 |
| 73110 |
|
15 |
15 |
$0.00 |
| 73130 |
|
48 |
45 |
$0.00 |
| 93971 |
|
22 |
13 |
$0.00 |
| 73560 |
|
21 |
12 |
$0.00 |