| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,402 |
4,252 |
$211K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,269 |
3,903 |
$79K |
| 71045 |
Radiologic examination, chest; single view |
11,635 |
9,576 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
7,215 |
6,921 |
$39K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,492 |
1,472 |
$30K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
140 |
139 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
328 |
318 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
80 |
77 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
115 |
113 |
$4K |
| 76830 |
Ultrasound, transvaginal |
115 |
114 |
$3K |
| 73630 |
|
491 |
453 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
71 |
70 |
$2K |
| 73610 |
|
222 |
208 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
38 |
38 |
$1K |
| 76801 |
|
27 |
27 |
$958.16 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
25 |
25 |
$875.65 |
| 76642 |
|
28 |
26 |
$496.53 |
| 73030 |
|
66 |
62 |
$354.63 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
15 |
15 |
$255.75 |
| 73502 |
|
38 |
37 |
$186.29 |
| 74018 |
|
39 |
36 |
$145.44 |
| 72170 |
|
27 |
26 |
$119.67 |
| 74019 |
|
12 |
12 |
$95.60 |
| 73130 |
|
12 |
12 |
$63.52 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
616 |
610 |
$0.00 |