| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,533 |
1,439 |
$102K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,639 |
1,585 |
$75K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
416 |
391 |
$43K |
| 71045 |
Radiologic examination, chest; single view |
6,649 |
5,547 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
289 |
278 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,842 |
1,759 |
$11K |
| 73630 |
|
872 |
805 |
$10K |
| 73610 |
|
595 |
540 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
262 |
254 |
$8K |
| 76830 |
Ultrasound, transvaginal |
228 |
213 |
$8K |
| 74018 |
|
1,296 |
1,172 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
304 |
302 |
$6K |
| 71250 |
|
179 |
169 |
$6K |
| 73560 |
|
507 |
458 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
97 |
85 |
$3K |
| 73130 |
|
242 |
228 |
$3K |
| 73030 |
|
222 |
202 |
$2K |
| 73110 |
|
105 |
98 |
$1K |
| 76536 |
|
29 |
25 |
$1K |
| 73502 |
|
33 |
29 |
$332.04 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$307.33 |
| 72100 |
|
15 |
12 |
$178.77 |
| 73562 |
|
14 |
14 |
$165.53 |
| 73140 |
|
12 |
12 |
$151.47 |
| 73080 |
|
12 |
12 |
$139.20 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
169 |
154 |
$0.00 |