| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,040 |
1,002 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
674 |
596 |
$23K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
5,557 |
4,357 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
4,485 |
3,455 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,043 |
998 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,193 |
1,111 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
215 |
188 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
70 |
63 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
46 |
44 |
$1K |
| 74018 |
|
129 |
118 |
$696.90 |
| 00811 |
|
12 |
12 |
$689.13 |
| 00731 |
|
14 |
13 |
$630.45 |
| 73562 |
|
73 |
63 |
$516.33 |
| 76642 |
|
13 |
12 |
$312.99 |
| 73630 |
|
41 |
36 |
$277.57 |
| 73030 |
|
28 |
26 |
$160.23 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
1,257 |
996 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
39 |
27 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
192 |
159 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
733 |
566 |
$0.00 |