| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,623 |
1,559 |
$110K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,310 |
1,257 |
$61K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,725 |
1,387 |
$48K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,676 |
1,345 |
$38K |
| 70460 |
|
288 |
259 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
3,301 |
2,994 |
$19K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
752 |
579 |
$18K |
| 76642 |
|
724 |
587 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,633 |
3,087 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
140 |
128 |
$15K |
| 77065 |
Tomosynthesis, mammo |
420 |
319 |
$12K |
| 77066 |
Tomosynthesis, mammo |
329 |
263 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
177 |
175 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
157 |
126 |
$5K |
| 73564 |
|
375 |
317 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
235 |
228 |
$4K |
| 73630 |
|
355 |
319 |
$4K |
| 73610 |
|
258 |
235 |
$4K |
| 72100 |
|
265 |
256 |
$3K |
| 74018 |
|
461 |
365 |
$2K |
| 73030 |
|
185 |
173 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
53 |
28 |
$1K |
| 76830 |
Ultrasound, transvaginal |
30 |
14 |
$1K |
| 73130 |
|
104 |
92 |
$1K |
| 72126 |
|
21 |
20 |
$921.46 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
28 |
28 |
$861.63 |
| 71250 |
|
14 |
12 |
$507.74 |
| 93971 |
|
45 |
39 |
$473.70 |
| 77080 |
|
68 |
67 |
$431.60 |
| 93976 |
|
28 |
26 |
$360.54 |
| 73110 |
|
29 |
28 |
$325.32 |
| 73502 |
|
16 |
13 |
$108.96 |