| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,964 |
1,876 |
$134K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,299 |
1,254 |
$60K |
| 71045 |
Radiologic examination, chest; single view |
4,677 |
3,952 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
3,620 |
3,257 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
189 |
185 |
$20K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
682 |
553 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
661 |
539 |
$17K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
596 |
578 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
218 |
214 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
83 |
78 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
114 |
110 |
$9K |
| 73630 |
|
495 |
445 |
$5K |
| 72100 |
|
402 |
382 |
$5K |
| 73564 |
|
382 |
350 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
160 |
108 |
$5K |
| 93975 |
|
124 |
113 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
132 |
115 |
$4K |
| 73610 |
|
316 |
303 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
102 |
94 |
$4K |
| 74018 |
|
715 |
578 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
45 |
43 |
$3K |
| 73030 |
|
298 |
274 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
37 |
37 |
$3K |
| 93976 |
|
144 |
113 |
$3K |
| 76801 |
|
76 |
75 |
$2K |
| 76830 |
Ultrasound, transvaginal |
45 |
28 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
55 |
52 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
50 |
49 |
$1K |
| 76642 |
|
61 |
54 |
$1K |
| 73130 |
|
108 |
95 |
$1K |
| 93971 |
|
94 |
85 |
$938.58 |
| 77066 |
Tomosynthesis, mammo |
14 |
13 |
$543.57 |
| 73110 |
|
46 |
43 |
$461.90 |
| 73590 |
|
16 |
13 |
$184.33 |
| 73140 |
|
16 |
12 |
$139.78 |
| 72040 |
|
12 |
12 |
$122.87 |
| 73502 |
|
14 |
13 |
$81.72 |