| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76770 |
|
1,207 |
810 |
$44K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
801 |
763 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
4,398 |
2,916 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,776 |
2,136 |
$16K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
477 |
360 |
$9K |
| 76642 |
|
417 |
333 |
$8K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
337 |
283 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
233 |
219 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
247 |
188 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
247 |
188 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
100 |
98 |
$5K |
| 77066 |
Tomosynthesis, mammo |
94 |
80 |
$3K |
| 74018 |
|
523 |
343 |
$2K |
| 73610 |
|
139 |
70 |
$2K |
| 93970 |
|
121 |
107 |
$2K |
| 73630 |
|
122 |
53 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 77065 |
Tomosynthesis, mammo |
39 |
31 |
$1K |
| 76830 |
Ultrasound, transvaginal |
29 |
29 |
$1K |
| 73090 |
|
92 |
55 |
$980.55 |
| 76506 |
|
30 |
12 |
$914.82 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
28 |
12 |
$728.25 |
| 93976 |
|
34 |
32 |
$671.28 |
| 76376 |
|
187 |
174 |
$642.85 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$471.49 |
| 71250 |
|
21 |
17 |
$419.63 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
16 |
$413.47 |
| 73590 |
|
31 |
13 |
$375.10 |
| 72170 |
|
50 |
40 |
$352.80 |
| 77072 |
|
30 |
27 |
$263.82 |
| 72100 |
|
20 |
14 |
$236.90 |
| 72082 |
|
17 |
17 |
$165.58 |
| 73564 |
|
13 |
12 |
$111.67 |
| 72040 |
|
12 |
12 |
$106.08 |