| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,589 |
6,392 |
$453K |
| 71045 |
Radiologic examination, chest; single view |
27,368 |
21,184 |
$175K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,017 |
4,721 |
$129K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,194 |
3,115 |
$119K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,120 |
2,054 |
$64K |
| 71046 |
Radiologic examination, chest; 2 views |
6,058 |
5,892 |
$53K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
621 |
591 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
376 |
364 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
90 |
87 |
$5K |
| 76830 |
Ultrasound, transvaginal |
231 |
225 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
171 |
167 |
$4K |
| 73630 |
|
568 |
495 |
$4K |
| 72100 |
|
401 |
385 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
55 |
54 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
74 |
71 |
$3K |
| 74018 |
|
326 |
293 |
$2K |
| 76770 |
|
185 |
184 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
84 |
82 |
$2K |
| 77427 |
|
26 |
12 |
$2K |
| 73030 |
|
210 |
193 |
$2K |
| 73560 |
|
407 |
328 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
13 |
$1K |
| 73610 |
|
119 |
111 |
$904.64 |
| 76642 |
|
28 |
25 |
$857.22 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$824.31 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
26 |
26 |
$713.50 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
25 |
25 |
$705.82 |
| 73130 |
|
49 |
43 |
$363.83 |
| 76536 |
|
24 |
24 |
$277.44 |
| 73502 |
|
29 |
27 |
$204.98 |
| 73110 |
|
13 |
13 |
$92.31 |
| 93971 |
|
14 |
13 |
$0.00 |
| 71250 |
|
24 |
24 |
$0.00 |