| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,377 |
1,245 |
$93K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,866 |
1,522 |
$54K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,588 |
1,238 |
$44K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,817 |
1,478 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
3,132 |
2,762 |
$18K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
400 |
346 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,159 |
2,273 |
$14K |
| 76801 |
|
529 |
478 |
$14K |
| 76818 |
|
353 |
221 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
357 |
334 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
195 |
184 |
$6K |
| 76642 |
|
220 |
170 |
$5K |
| 76830 |
Ultrasound, transvaginal |
139 |
114 |
$5K |
| 73610 |
|
344 |
291 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
117 |
95 |
$3K |
| 73630 |
|
322 |
273 |
$3K |
| 73562 |
|
209 |
170 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
83 |
70 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
93 |
78 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$2K |
| 73130 |
|
230 |
182 |
$2K |
| 72170 |
|
252 |
199 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
61 |
38 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
42 |
36 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
28 |
26 |
$956.11 |
| 73110 |
|
93 |
77 |
$924.66 |
| 73030 |
|
96 |
80 |
$887.80 |
| 77066 |
Tomosynthesis, mammo |
24 |
12 |
$877.36 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
17 |
16 |
$784.80 |
| 72100 |
|
60 |
50 |
$770.04 |
| 73564 |
|
58 |
49 |
$764.58 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
12 |
$602.55 |
| 76770 |
|
15 |
14 |
$361.50 |
| 74018 |
|
32 |
25 |
$143.55 |
| 72072 |
|
17 |
13 |
$140.61 |
| 72082 |
|
13 |
13 |
$127.53 |