| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
11,656 |
10,984 |
$743K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12,746 |
11,806 |
$383K |
| 71046 |
Radiologic examination, chest; 2 views |
39,934 |
37,164 |
$326K |
| 71045 |
Radiologic examination, chest; single view |
31,231 |
26,770 |
$193K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,415 |
4,281 |
$149K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,320 |
4,181 |
$107K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,302 |
1,233 |
$31K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
340 |
324 |
$21K |
| 76642 |
|
780 |
677 |
$20K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
308 |
294 |
$14K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
511 |
481 |
$11K |
| 74022 |
|
465 |
437 |
$6K |
| 73630 |
|
611 |
560 |
$4K |
| 73562 |
|
423 |
372 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
40 |
37 |
$2K |
| 73130 |
|
319 |
290 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
60 |
54 |
$2K |
| 72100 |
|
193 |
183 |
$2K |
| 77066 |
Tomosynthesis, mammo |
38 |
38 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
44 |
41 |
$1K |
| 76830 |
Ultrasound, transvaginal |
39 |
38 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
42 |
36 |
$1K |
| 73610 |
|
109 |
105 |
$844.89 |
| 77065 |
Tomosynthesis, mammo |
18 |
14 |
$390.69 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$381.92 |
| 74018 |
|
50 |
49 |
$372.00 |
| 73110 |
|
42 |
42 |
$337.72 |
| 73030 |
|
29 |
27 |
$220.86 |
| 93971 |
|
13 |
12 |
$218.67 |
| 73120 |
|
12 |
12 |
$80.90 |
| 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) |
114 |
95 |
$0.00 |