| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
8,567 |
8,191 |
$354K |
| 71045 |
Radiologic examination, chest; single view |
79,722 |
68,999 |
$291K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12,616 |
11,992 |
$223K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
4,157 |
4,056 |
$133K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,809 |
1,745 |
$65K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
850 |
809 |
$23K |
| 74018 |
|
5,203 |
4,030 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
296 |
292 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,947 |
1,872 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
145 |
134 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
159 |
142 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
48 |
46 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
24 |
$679.60 |
| 93976 |
|
26 |
25 |
$568.54 |
| 76801 |
|
14 |
12 |
$396.56 |
| 76376 |
|
54 |
54 |
$267.08 |
| 76506 |
|
18 |
14 |
$201.76 |
| 73610 |
|
12 |
12 |
$68.52 |
| 73110 |
|
12 |
12 |
$66.77 |
| 73630 |
|
16 |
12 |
$60.14 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
20,556 |
15,358 |
$0.04 |