| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,178 |
5,828 |
$276K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,977 |
6,520 |
$165K |
| 71045 |
Radiologic examination, chest; single view |
33,770 |
28,231 |
$131K |
| 71046 |
Radiologic examination, chest; 2 views |
13,766 |
13,006 |
$70K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
535 |
505 |
$29K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
684 |
636 |
$22K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
806 |
767 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
759 |
722 |
$16K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
165 |
164 |
$13K |
| 36573 |
|
54 |
51 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
501 |
480 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
221 |
208 |
$6K |
| 73630 |
|
924 |
807 |
$6K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
162 |
131 |
$5K |
| 76830 |
Ultrasound, transvaginal |
167 |
161 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
59 |
57 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
81 |
80 |
$2K |
| 71250 |
|
62 |
62 |
$2K |
| 73610 |
|
238 |
220 |
$1K |
| 36569 |
|
15 |
14 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
26 |
$1K |
| 74018 |
|
227 |
222 |
$1K |
| 76642 |
|
57 |
50 |
$1K |
| 76376 |
|
151 |
149 |
$794.74 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$670.12 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
43 |
37 |
$537.76 |
| 73110 |
|
73 |
68 |
$449.79 |
| 71271 |
|
13 |
13 |
$429.77 |
| 93976 |
|
12 |
12 |
$419.77 |
| 73130 |
|
58 |
51 |
$351.02 |
| 74019 |
|
49 |
48 |
$346.60 |
| 76770 |
|
12 |
12 |
$230.96 |
| 74021 |
|
26 |
26 |
$133.43 |
| 74022 |
|
13 |
13 |
$124.30 |
| 73562 |
|
18 |
17 |
$116.80 |
| 73564 |
|
19 |
12 |
$112.75 |
| 73030 |
|
12 |
12 |
$83.03 |
| 73090 |
|
14 |
13 |
$77.90 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
158 |
124 |
$0.00 |