| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,801 |
1,775 |
$84K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,342 |
3,280 |
$68K |
| 71045 |
Radiologic examination, chest; single view |
13,247 |
12,297 |
$59K |
| 71046 |
Radiologic examination, chest; 2 views |
6,821 |
6,764 |
$49K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,672 |
1,668 |
$47K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,660 |
1,657 |
$25K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
182 |
180 |
$9K |
| 76642 |
|
242 |
220 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
196 |
192 |
$4K |
| 76830 |
Ultrasound, transvaginal |
154 |
150 |
$4K |
| 93975 |
|
66 |
66 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
91 |
91 |
$2K |
| 76376 |
|
484 |
481 |
$2K |
| 93976 |
|
77 |
74 |
$2K |
| 73630 |
|
354 |
341 |
$2K |
| 72100 |
|
204 |
203 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
68 |
67 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
28 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$841.00 |
| 77066 |
Tomosynthesis, mammo |
31 |
28 |
$741.04 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
29 |
$692.88 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
42 |
42 |
$598.78 |
| 77065 |
Tomosynthesis, mammo |
16 |
12 |
$380.27 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$377.04 |
| 73110 |
|
25 |
24 |
$163.32 |
| 73130 |
|
30 |
26 |
$149.71 |
| 73564 |
|
13 |
13 |
$104.28 |
| 73030 |
|
25 |
24 |
$96.20 |
| 73610 |
|
13 |
12 |
$88.79 |
| 77080 |
|
12 |
12 |
$37.90 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
84 |
75 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,176 |
839 |
$0.00 |