| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,530 |
1,458 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
483 |
467 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,170 |
1,131 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
3,230 |
3,014 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
102 |
100 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
69 |
68 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
44 |
43 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
31 |
31 |
$797.69 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$280.83 |
| 73030 |
|
33 |
29 |
$228.59 |
| 74022 |
|
12 |
12 |
$140.17 |
| 73610 |
|
15 |
14 |
$111.80 |
| 73630 |
|
14 |
12 |
$60.39 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
481 |
365 |
$0.00 |