| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
492 |
473 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
1,560 |
1,478 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
186 |
183 |
$14K |
| 76642 |
|
98 |
95 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
910 |
685 |
$4K |
| 73630 |
|
239 |
225 |
$4K |
| 73610 |
|
138 |
129 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
37 |
37 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$1K |
| 73110 |
|
59 |
53 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$897.72 |
| 73130 |
|
66 |
52 |
$884.41 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$671.42 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$647.10 |
| 74018 |
|
46 |
42 |
$370.70 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$343.28 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$282.96 |
| 73564 |
|
17 |
15 |
$244.20 |
| 73030 |
|
13 |
13 |
$188.70 |
| 73140 |
|
15 |
15 |
$129.09 |