| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12,312 |
12,105 |
$878K |
| 70450 |
Computed tomography, head or brain; without contrast material |
13,529 |
13,018 |
$495K |
| 71046 |
Radiologic examination, chest; 2 views |
32,239 |
31,758 |
$305K |
| 71045 |
Radiologic examination, chest; single view |
24,553 |
21,672 |
$160K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,369 |
4,352 |
$156K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,294 |
4,279 |
$124K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,044 |
3,005 |
$86K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,330 |
1,307 |
$64K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
572 |
559 |
$47K |
| 76830 |
Ultrasound, transvaginal |
1,084 |
1,077 |
$38K |
| 76642 |
|
952 |
945 |
$31K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
400 |
393 |
$26K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
560 |
552 |
$22K |
| 93975 |
|
246 |
244 |
$18K |
| 76770 |
|
536 |
531 |
$18K |
| 77066 |
Tomosynthesis, mammo |
287 |
285 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
288 |
280 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
216 |
211 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
145 |
142 |
$10K |
| 77062 |
|
225 |
223 |
$7K |
| 74018 |
|
539 |
493 |
$4K |
| 77065 |
Tomosynthesis, mammo |
79 |
79 |
$3K |
| 93971 |
|
128 |
124 |
$2K |
| 74019 |
|
215 |
213 |
$2K |
| 70498 |
|
24 |
24 |
$2K |
| 70496 |
|
25 |
24 |
$2K |
| 76536 |
|
68 |
67 |
$2K |
| 77061 |
|
37 |
37 |
$1K |
| 76885 |
|
26 |
26 |
$938.25 |
| 93970 |
|
26 |
25 |
$538.88 |
| 71250 |
|
12 |
12 |
$536.26 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$383.10 |
| 77080 |
|
30 |
30 |
$274.31 |
| 73630 |
|
27 |
24 |
$235.90 |
| 73030 |
|
12 |
12 |
$118.93 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
68 |
57 |
$0.00 |