| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
435 |
363 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
669 |
605 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
345 |
335 |
$19K |
| 76830 |
Ultrasound, transvaginal |
466 |
444 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
336 |
310 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
102 |
90 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
412 |
372 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
227 |
224 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
975 |
909 |
$6K |
| 76536 |
|
214 |
207 |
$6K |
| 76770 |
|
194 |
194 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
249 |
248 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
152 |
128 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
102 |
101 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
57 |
57 |
$3K |
| 76801 |
|
81 |
72 |
$3K |
| 71250 |
|
69 |
65 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
63 |
46 |
$2K |
| 71271 |
|
58 |
58 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
63 |
61 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
66 |
66 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
185 |
181 |
$1K |
| 93970 |
|
61 |
59 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
31 |
29 |
$999.96 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$954.10 |
| 72141 |
|
12 |
12 |
$797.76 |
| 93976 |
|
27 |
26 |
$682.61 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
26 |
26 |
$575.01 |
| 76641 |
|
16 |
16 |
$558.02 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$545.94 |
| 93971 |
|
28 |
26 |
$376.17 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$355.14 |
| 73610 |
|
35 |
34 |
$294.83 |
| 73630 |
|
17 |
17 |
$141.84 |
| 77080 |
|
12 |
12 |
$93.32 |
| 74018 |
|
12 |
12 |
$66.48 |