| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
708 |
646 |
$46K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
395 |
366 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
273 |
253 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,628 |
1,476 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
266 |
253 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,275 |
1,018 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
244 |
237 |
$4K |
| 73562 |
|
338 |
224 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
105 |
92 |
$3K |
| 73630 |
|
224 |
170 |
$2K |
| 73030 |
|
146 |
114 |
$2K |
| 93976 |
|
87 |
79 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
44 |
40 |
$1K |
| 76830 |
Ultrasound, transvaginal |
40 |
37 |
$1K |
| 73130 |
|
78 |
57 |
$853.85 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$758.10 |
| 93970 |
|
64 |
62 |
$659.97 |
| 73610 |
|
31 |
28 |
$464.49 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$405.52 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$353.76 |
| 72110 |
|
13 |
12 |
$235.39 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
13 |
$213.20 |
| 93971 |
|
17 |
13 |
$209.03 |
| 72100 |
|
13 |
12 |
$148.32 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
12 |
$123.74 |
| 76376 |
|
13 |
12 |
$58.71 |