| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,726 |
1,635 |
$101K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
556 |
524 |
$25K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
482 |
477 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
272 |
257 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
476 |
473 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
2,135 |
1,793 |
$7K |
| 76642 |
|
303 |
210 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,287 |
1,177 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
222 |
218 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
128 |
108 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
97 |
95 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
71 |
66 |
$1K |
| 93971 |
|
115 |
107 |
$749.17 |
| 93880 |
|
109 |
99 |
$659.72 |
| 73030 |
|
48 |
39 |
$561.48 |
| 77080 |
|
51 |
51 |
$480.13 |
| 77066 |
Tomosynthesis, mammo |
15 |
12 |
$451.80 |
| 77065 |
Tomosynthesis, mammo |
16 |
12 |
$428.02 |
| 72100 |
|
27 |
27 |
$318.99 |
| 73560 |
|
35 |
30 |
$287.01 |
| 74018 |
|
42 |
42 |
$180.63 |
| 93970 |
|
13 |
12 |
$156.42 |
| 73562 |
|
16 |
12 |
$137.42 |
| 73502 |
|
16 |
12 |
$133.42 |
| 7025F |
|
190 |
189 |
$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) |
291 |
255 |
$0.00 |
| 3341F |
|
27 |
27 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
15 |
14 |
$0.00 |