| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
2,876 |
1,667 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
237 |
233 |
$11K |
| 74018 |
|
1,501 |
927 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,190 |
1,099 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
287 |
271 |
$7K |
| 76830 |
Ultrasound, transvaginal |
199 |
189 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
134 |
132 |
$3K |
| 76770 |
|
68 |
66 |
$2K |
| 93976 |
|
96 |
89 |
$2K |
| 73610 |
|
110 |
103 |
$2K |
| 73110 |
|
141 |
135 |
$1K |
| 73630 |
|
116 |
104 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$823.33 |
| 76506 |
|
23 |
13 |
$736.46 |
| 73130 |
|
49 |
41 |
$524.63 |
| 73560 |
|
42 |
40 |
$436.12 |
| 73562 |
|
28 |
19 |
$319.15 |
| 72100 |
|
16 |
16 |
$228.39 |
| 72170 |
|
28 |
27 |
$227.65 |
| 73080 |
|
18 |
17 |
$193.50 |
| 73090 |
|
19 |
15 |
$173.85 |
| 74230 |
|
13 |
13 |
$165.10 |
| 93970 |
|
12 |
12 |
$156.42 |
| 72040 |
|
14 |
12 |
$149.86 |
| 72082 |
|
12 |
12 |
$107.14 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
19 |
16 |
$0.00 |