| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,546 |
1,459 |
$87K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,852 |
1,682 |
$41K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,258 |
1,177 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
555 |
529 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
5,603 |
4,665 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
257 |
238 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,681 |
1,531 |
$9K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
265 |
255 |
$7K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
104 |
103 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
236 |
210 |
$3K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
93 |
88 |
$3K |
| 74018 |
|
948 |
813 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
75 |
72 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
79 |
72 |
$2K |
| 76641 |
|
101 |
82 |
$2K |
| 76830 |
Ultrasound, transvaginal |
63 |
59 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
112 |
108 |
$2K |
| 77066 |
Tomosynthesis, mammo |
56 |
52 |
$1K |
| 73630 |
|
134 |
107 |
$1K |
| 76642 |
|
63 |
53 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
21 |
13 |
$723.93 |
| 73610 |
|
43 |
39 |
$516.91 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$463.47 |
| 93975 |
|
12 |
12 |
$388.38 |
| 93970 |
|
30 |
24 |
$362.61 |
| 76770 |
|
13 |
12 |
$317.32 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$313.52 |
| 73564 |
|
25 |
25 |
$295.78 |
| 72110 |
|
13 |
12 |
$220.08 |
| 73130 |
|
16 |
16 |
$174.62 |
| 93971 |
|
17 |
12 |
$162.54 |
| 72100 |
|
12 |
12 |
$134.68 |
| 73030 |
|
12 |
12 |
$124.08 |
| 73502 |
|
14 |
14 |
$61.23 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
341 |
297 |
$0.00 |
| 3342F |
|
141 |
136 |
$0.00 |
| 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) |
534 |
446 |
$0.00 |
| 7025F |
|
375 |
337 |
$0.00 |
| 3341F |
|
58 |
55 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
17 |
14 |
$0.00 |