| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,093 |
3,881 |
$199K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,038 |
5,499 |
$122K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,539 |
2,401 |
$79K |
| 71045 |
Radiologic examination, chest; single view |
16,137 |
12,426 |
$70K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,579 |
2,426 |
$49K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
672 |
634 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
6,388 |
6,136 |
$39K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,140 |
1,988 |
$36K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
540 |
498 |
$21K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
836 |
785 |
$21K |
| 93975 |
|
501 |
478 |
$18K |
| 74018 |
|
3,698 |
2,923 |
$18K |
| 93976 |
|
631 |
584 |
$15K |
| 76642 |
|
333 |
286 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
601 |
569 |
$13K |
| 71271 |
|
169 |
168 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
224 |
217 |
$10K |
| 76770 |
|
361 |
345 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
255 |
230 |
$7K |
| 76830 |
Ultrasound, transvaginal |
253 |
242 |
$6K |
| 73630 |
|
940 |
814 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
90 |
83 |
$4K |
| 70498 |
|
72 |
67 |
$3K |
| 70496 |
|
58 |
52 |
$2K |
| 73610 |
|
400 |
364 |
$2K |
| 73030 |
|
417 |
383 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
44 |
40 |
$2K |
| 73562 |
|
297 |
262 |
$1K |
| 71250 |
|
64 |
64 |
$1K |
| 93971 |
|
114 |
104 |
$1K |
| 73130 |
|
226 |
204 |
$1K |
| 77066 |
Tomosynthesis, mammo |
42 |
37 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
25 |
$879.34 |
| 73502 |
|
137 |
131 |
$776.10 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
25 |
$633.32 |
| 70486 |
|
27 |
24 |
$601.78 |
| 72100 |
|
88 |
80 |
$549.38 |
| 72141 |
|
12 |
12 |
$519.99 |
| 76536 |
|
31 |
29 |
$518.26 |
| 74183 |
|
14 |
13 |
$464.82 |
| 72131 |
|
13 |
13 |
$316.30 |
| 73560 |
|
61 |
53 |
$265.97 |
| 73590 |
|
71 |
61 |
$263.20 |
| 73700 |
|
12 |
12 |
$211.26 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
21 |
15 |
$127.80 |
| 77080 |
|
39 |
36 |
$105.32 |
| 76376 |
|
58 |
47 |
$83.87 |
| 73110 |
|
14 |
13 |
$74.01 |
| 72170 |
|
14 |
14 |
$69.08 |