| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,550 |
3,587 |
$195K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,771 |
3,166 |
$87K |
| 71046 |
Radiologic examination, chest; 2 views |
15,068 |
11,813 |
$80K |
| 71045 |
Radiologic examination, chest; single view |
21,381 |
13,506 |
$78K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,534 |
2,748 |
$60K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,153 |
898 |
$40K |
| 71250 |
|
1,853 |
1,449 |
$39K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,855 |
1,480 |
$33K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,751 |
1,377 |
$27K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,111 |
926 |
$26K |
| 73630 |
|
3,122 |
2,299 |
$13K |
| 72110 |
|
1,659 |
1,335 |
$13K |
| 73030 |
|
2,522 |
1,846 |
$12K |
| 74178 |
|
283 |
207 |
$12K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
356 |
258 |
$11K |
| 73564 |
|
1,981 |
1,334 |
$11K |
| 73610 |
|
2,406 |
1,839 |
$11K |
| 74018 |
|
2,202 |
1,688 |
$11K |
| 76000 |
|
902 |
733 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
202 |
168 |
$8K |
| 93970 |
|
561 |
420 |
$7K |
| 73130 |
|
1,414 |
1,023 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
290 |
224 |
$7K |
| 72100 |
|
1,028 |
850 |
$6K |
| 73110 |
|
1,200 |
882 |
$6K |
| 73562 |
|
854 |
559 |
$4K |
| 76536 |
|
239 |
185 |
$4K |
| 70210 |
|
659 |
537 |
$4K |
| 73502 |
|
666 |
532 |
$3K |
| 93880 |
|
175 |
144 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
114 |
97 |
$3K |
| 93971 |
|
298 |
222 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
75 |
70 |
$2K |
| 76641 |
|
98 |
52 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
29 |
26 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
18 |
15 |
$688.13 |
| 78227 |
|
35 |
26 |
$674.89 |
| 73080 |
|
135 |
108 |
$644.02 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
14 |
$567.40 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
39 |
28 |
$558.78 |
| 76981 |
|
31 |
26 |
$521.47 |
| 77066 |
Tomosynthesis, mammo |
17 |
13 |
$421.20 |
| G9638 |
Final reports without 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) |
6,432 |
4,866 |
$394.09 |
| 76642 |
|
27 |
14 |
$390.15 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
13 |
$353.96 |
| 73590 |
|
68 |
55 |
$295.94 |
| 93925 |
|
15 |
13 |
$218.32 |
| 77080 |
|
51 |
36 |
$200.93 |
| 72040 |
|
27 |
25 |
$194.87 |
| 74022 |
|
17 |
15 |
$180.35 |
| 72050 |
|
14 |
13 |
$136.47 |
| 93923 |
|
14 |
12 |
$98.28 |
| 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) |
4,162 |
2,973 |
$69.59 |
| 73140 |
|
20 |
13 |
$52.54 |