| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
984 |
915 |
$52K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,931 |
1,785 |
$45K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
396 |
331 |
$44K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
960 |
915 |
$41K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,689 |
1,552 |
$32K |
| 71045 |
Radiologic examination, chest; single view |
5,339 |
4,090 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
327 |
314 |
$11K |
| 76641 |
|
392 |
320 |
$9K |
| 77066 |
Tomosynthesis, mammo |
290 |
220 |
$9K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
418 |
350 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
372 |
365 |
$7K |
| 73221 |
|
61 |
58 |
$6K |
| 71250 |
|
258 |
242 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
58 |
55 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
142 |
136 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
785 |
742 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
92 |
91 |
$3K |
| 76830 |
Ultrasound, transvaginal |
89 |
89 |
$3K |
| 74018 |
|
573 |
502 |
$2K |
| 76642 |
|
96 |
84 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
62 |
56 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
47 |
46 |
$2K |
| 72197 |
|
12 |
12 |
$1K |
| 73630 |
|
138 |
117 |
$1K |
| 77065 |
Tomosynthesis, mammo |
66 |
66 |
$1K |
| 73130 |
|
96 |
86 |
$847.25 |
| 76536 |
|
29 |
29 |
$825.26 |
| 73610 |
|
64 |
57 |
$822.94 |
| 73560 |
|
72 |
47 |
$592.62 |
| 76770 |
|
26 |
26 |
$586.50 |
| 74230 |
|
31 |
26 |
$559.84 |
| 73030 |
|
51 |
42 |
$431.56 |
| 71271 |
|
13 |
13 |
$406.03 |
| 72100 |
|
32 |
32 |
$350.98 |
| 73562 |
|
19 |
14 |
$246.93 |
| 72110 |
|
15 |
15 |
$189.30 |
| 73110 |
|
15 |
14 |
$164.28 |
| 73502 |
|
26 |
26 |
$113.73 |