| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,256 |
1,139 |
$84K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
673 |
622 |
$30K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
787 |
620 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
3,411 |
2,663 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
454 |
293 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,900 |
1,771 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
76 |
68 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
119 |
115 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
86 |
66 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
163 |
145 |
$3K |
| 76377 |
|
161 |
150 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
41 |
30 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
45 |
41 |
$1K |
| 76830 |
Ultrasound, transvaginal |
33 |
29 |
$959.95 |
| 77065 |
Tomosynthesis, mammo |
24 |
13 |
$952.82 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
26 |
26 |
$817.05 |
| 74018 |
|
200 |
160 |
$812.91 |
| 93976 |
|
38 |
27 |
$731.53 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
24 |
13 |
$716.44 |
| 71250 |
|
12 |
12 |
$297.20 |
| 73130 |
|
32 |
27 |
$266.30 |
| 73630 |
|
24 |
24 |
$258.00 |
| 93970 |
|
16 |
13 |
$241.77 |