| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
357 |
345 |
$15K |
| 76830 |
Ultrasound, transvaginal |
429 |
412 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
250 |
243 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
53 |
53 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,466 |
1,343 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
830 |
799 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
199 |
198 |
$4K |
| 73560 |
|
337 |
294 |
$3K |
| 73030 |
|
278 |
255 |
$3K |
| 73610 |
|
137 |
129 |
$2K |
| 73630 |
|
155 |
141 |
$2K |
| 73221 |
|
13 |
12 |
$1K |
| 74018 |
|
195 |
191 |
$952.14 |
| 73110 |
|
84 |
76 |
$863.38 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
26 |
$829.20 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$404.32 |
| 93976 |
|
12 |
12 |
$335.61 |
| 72110 |
|
17 |
17 |
$300.27 |
| 74230 |
|
15 |
13 |
$281.31 |
| 77002 |
|
16 |
14 |
$267.32 |
| 73562 |
|
14 |
14 |
$134.46 |
| 73140 |
|
15 |
13 |
$126.81 |
| 73502 |
|
13 |
12 |
$107.26 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
58 |
57 |
$0.00 |