| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
5,106 |
4,211 |
$78K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,026 |
1,739 |
$76K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,943 |
1,614 |
$50K |
| 71045 |
Radiologic examination, chest; single view |
14,030 |
10,714 |
$44K |
| 71046 |
Radiologic examination, chest; 2 views |
5,660 |
4,969 |
$33K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,144 |
971 |
$24K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
549 |
426 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
415 |
333 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
187 |
144 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
154 |
141 |
$2K |
| 76775 |
|
120 |
111 |
$1K |
| 74018 |
|
230 |
215 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
65 |
54 |
$731.97 |
| 77066 |
Tomosynthesis, mammo |
29 |
24 |
$536.20 |
| 76642 |
|
33 |
25 |
$468.56 |
| 72110 |
|
42 |
41 |
$365.80 |
| 77065 |
Tomosynthesis, mammo |
25 |
25 |
$358.30 |
| 93971 |
|
33 |
27 |
$274.97 |
| 73630 |
|
58 |
56 |
$230.55 |
| 73562 |
|
39 |
30 |
$161.84 |
| 73502 |
|
27 |
25 |
$143.25 |
| 73610 |
|
13 |
13 |
$63.17 |
| 73030 |
|
12 |
12 |
$60.86 |
| 71010 |
|
187 |
83 |
$0.00 |