| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,657 |
3,836 |
$58K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,675 |
4,052 |
$37K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,567 |
4,001 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
20,897 |
15,469 |
$31K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,613 |
1,329 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,295 |
1,005 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
3,531 |
2,865 |
$7K |
| 76641 |
|
387 |
353 |
$7K |
| 73630 |
|
1,617 |
1,127 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
168 |
134 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
294 |
205 |
$1K |
| 77080 |
|
487 |
414 |
$1K |
| 93970 |
|
89 |
64 |
$589.56 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
45 |
44 |
$545.02 |
| 73610 |
|
303 |
195 |
$444.70 |
| 73562 |
|
202 |
151 |
$440.81 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$378.40 |
| 76642 |
|
26 |
25 |
$376.89 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
13 |
$284.99 |
| 73030 |
|
226 |
159 |
$276.68 |
| 76000 |
|
13 |
13 |
$275.36 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$258.10 |
| 72100 |
|
127 |
78 |
$114.48 |
| 76770 |
|
47 |
27 |
$101.25 |
| 93880 |
|
12 |
12 |
$94.00 |
| 72110 |
|
14 |
13 |
$89.10 |
| 73130 |
|
40 |
26 |
$73.98 |
| 74246 |
|
58 |
31 |
$45.00 |
| 74018 |
|
51 |
26 |
$28.67 |