| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,383 |
3,787 |
$207K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,049 |
3,340 |
$97K |
| 71045 |
Radiologic examination, chest; single view |
14,897 |
11,053 |
$89K |
| 71046 |
Radiologic examination, chest; 2 views |
8,448 |
6,905 |
$87K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,218 |
2,830 |
$77K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
601 |
513 |
$38K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,692 |
1,485 |
$32K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
578 |
492 |
$26K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
434 |
381 |
$21K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
353 |
316 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
325 |
295 |
$12K |
| 76830 |
Ultrasound, transvaginal |
443 |
389 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
290 |
249 |
$7K |
| 70496 |
|
88 |
79 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
114 |
105 |
$6K |
| 72141 |
|
121 |
103 |
$5K |
| 73630 |
|
1,401 |
1,193 |
$5K |
| 76642 |
|
254 |
210 |
$5K |
| 70498 |
|
71 |
65 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
153 |
132 |
$4K |
| 71250 |
|
153 |
140 |
$4K |
| 72100 |
|
553 |
497 |
$4K |
| 73562 |
|
784 |
658 |
$4K |
| 93971 |
|
341 |
301 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
96 |
85 |
$3K |
| 73030 |
|
730 |
627 |
$3K |
| 73610 |
|
698 |
614 |
$3K |
| 74018 |
|
362 |
296 |
$2K |
| 73221 |
|
66 |
52 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
74 |
64 |
$2K |
| 73130 |
|
382 |
308 |
$2K |
| 73110 |
|
329 |
281 |
$1K |
| 77065 |
Tomosynthesis, mammo |
68 |
62 |
$1K |
| 72110 |
|
85 |
75 |
$787.06 |
| 73502 |
|
104 |
88 |
$516.14 |
| 93976 |
|
16 |
16 |
$503.51 |
| 77066 |
Tomosynthesis, mammo |
19 |
13 |
$444.15 |
| 76536 |
|
13 |
13 |
$339.81 |
| 76770 |
|
15 |
12 |
$285.90 |
| 72040 |
|
48 |
39 |
$274.40 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,337 |
1,972 |
$79.22 |
| 73090 |
|
13 |
13 |
$76.54 |
| 77080 |
|
12 |
12 |
$66.36 |
| 73080 |
|
12 |
12 |
$64.55 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
91 |
86 |
$41.08 |
| 77062 |
|
18 |
12 |
$0.00 |