| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,363 |
4,204 |
$226K |
| 71045 |
Radiologic examination, chest; single view |
39,706 |
34,102 |
$166K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,704 |
7,356 |
$140K |
| 71046 |
Radiologic examination, chest; 2 views |
4,333 |
4,236 |
$30K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
391 |
380 |
$18K |
| 74018 |
|
3,012 |
2,680 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
238 |
231 |
$10K |
| 73610 |
|
1,603 |
1,511 |
$10K |
| 73630 |
|
1,472 |
1,349 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
511 |
484 |
$7K |
| 73562 |
|
926 |
820 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
499 |
477 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
91 |
83 |
$4K |
| 73110 |
|
504 |
459 |
$3K |
| 73130 |
|
465 |
431 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
70 |
68 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
78 |
77 |
$2K |
| 73030 |
|
295 |
266 |
$2K |
| 72100 |
|
221 |
210 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
49 |
49 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
27 |
25 |
$944.99 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$691.20 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
30 |
28 |
$628.94 |
| 73502 |
|
100 |
88 |
$488.18 |
| 73590 |
|
44 |
39 |
$236.27 |
| 73080 |
|
15 |
14 |
$95.26 |
| 73560 |
|
17 |
13 |
$92.86 |
| 73090 |
|
14 |
12 |
$77.21 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
137 |
112 |
$0.00 |