| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,482 |
2,872 |
$100K |
| 71045 |
Radiologic examination, chest; single view |
53,225 |
28,248 |
$75K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,333 |
1,853 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
14,686 |
12,064 |
$50K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,308 |
5,725 |
$50K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,242 |
1,037 |
$15K |
| 76641 |
|
1,932 |
1,033 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
717 |
584 |
$9K |
| 76830 |
Ultrasound, transvaginal |
278 |
257 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
224 |
179 |
$6K |
| 70496 |
|
136 |
102 |
$5K |
| 71250 |
|
590 |
413 |
$4K |
| 93970 |
|
552 |
401 |
$4K |
| 76770 |
|
417 |
317 |
$3K |
| 74018 |
|
2,210 |
1,187 |
$3K |
| 73562 |
|
834 |
599 |
$3K |
| 76801 |
|
74 |
64 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
354 |
327 |
$2K |
| 73630 |
|
657 |
509 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
115 |
90 |
$1K |
| 77066 |
Tomosynthesis, mammo |
131 |
100 |
$1K |
| 73030 |
|
448 |
334 |
$1K |
| 73610 |
|
203 |
177 |
$939.89 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
64 |
50 |
$930.59 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
76 |
55 |
$925.24 |
| 73130 |
|
206 |
155 |
$579.31 |
| 93971 |
|
97 |
77 |
$570.77 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
28 |
24 |
$470.55 |
| 70498 |
|
123 |
91 |
$450.42 |
| 77065 |
Tomosynthesis, mammo |
31 |
24 |
$330.92 |
| 73502 |
|
106 |
78 |
$242.86 |
| 73110 |
|
35 |
28 |
$216.23 |
| 77080 |
|
168 |
143 |
$214.26 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
6,399 |
4,977 |
$7.53 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
19 |
14 |
$0.00 |
| 7025F |
|
42 |
41 |
$0.00 |
| 3342F |
|
13 |
12 |
$0.00 |