| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,519 |
5,445 |
$273K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,728 |
4,721 |
$133K |
| 71046 |
Radiologic examination, chest; 2 views |
22,160 |
21,719 |
$128K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,823 |
6,651 |
$121K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,676 |
4,670 |
$65K |
| 71045 |
Radiologic examination, chest; single view |
10,155 |
8,879 |
$40K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
797 |
780 |
$30K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
365 |
363 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
720 |
707 |
$10K |
| 93976 |
|
474 |
452 |
$9K |
| 76642 |
|
427 |
394 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
317 |
308 |
$6K |
| 76376 |
|
822 |
808 |
$4K |
| 76830 |
Ultrasound, transvaginal |
161 |
159 |
$4K |
| 73630 |
|
351 |
340 |
$2K |
| 73564 |
|
242 |
219 |
$2K |
| 74018 |
|
320 |
306 |
$2K |
| 77066 |
Tomosynthesis, mammo |
71 |
71 |
$2K |
| 71250 |
|
40 |
39 |
$981.17 |
| 72100 |
|
164 |
164 |
$963.98 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
26 |
26 |
$950.15 |
| 93971 |
|
94 |
93 |
$869.88 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
41 |
$849.55 |
| 74019 |
|
121 |
120 |
$812.69 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
25 |
$761.03 |
| 77065 |
Tomosynthesis, mammo |
25 |
24 |
$673.79 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
12 |
12 |
$669.12 |
| 76770 |
|
32 |
27 |
$634.17 |
| 73610 |
|
111 |
109 |
$587.83 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$540.00 |
| 73030 |
|
98 |
89 |
$481.94 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$356.04 |
| 71271 |
|
17 |
17 |
$327.71 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
14 |
14 |
$207.27 |
| 77080 |
|
47 |
47 |
$131.02 |
| 73130 |
|
14 |
14 |
$81.36 |
| 73110 |
|
12 |
12 |
$67.80 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
74 |
63 |
$0.00 |