| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,176 |
1,142 |
$56K |
| 76830 |
Ultrasound, transvaginal |
686 |
644 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
4,601 |
4,074 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
2,749 |
2,611 |
$17K |
| 73630 |
|
1,439 |
1,280 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
400 |
383 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
136 |
132 |
$12K |
| 73560 |
|
1,098 |
942 |
$11K |
| 73610 |
|
754 |
712 |
$11K |
| 71250 |
|
283 |
259 |
$9K |
| 74018 |
|
1,369 |
1,278 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
170 |
161 |
$7K |
| 73030 |
|
542 |
497 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
189 |
188 |
$4K |
| 76536 |
|
107 |
106 |
$3K |
| 73130 |
|
181 |
168 |
$2K |
| 73502 |
|
319 |
284 |
$2K |
| 72100 |
|
140 |
131 |
$2K |
| 74183 |
|
18 |
15 |
$2K |
| 73562 |
|
153 |
145 |
$2K |
| 73110 |
|
133 |
126 |
$2K |
| 76770 |
|
26 |
25 |
$913.53 |
| 73140 |
|
67 |
65 |
$776.86 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
15 |
$657.02 |
| 73564 |
|
15 |
14 |
$251.49 |
| 72110 |
|
14 |
14 |
$233.80 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
58 |
49 |
$0.00 |