| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,264 |
2,063 |
$151K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
943 |
873 |
$40K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
353 |
329 |
$35K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,058 |
821 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
4,781 |
4,285 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
5,839 |
4,527 |
$25K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,053 |
820 |
$23K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
290 |
268 |
$9K |
| 73562 |
|
732 |
570 |
$8K |
| 73630 |
|
543 |
451 |
$6K |
| 76830 |
Ultrasound, transvaginal |
157 |
155 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
146 |
141 |
$4K |
| 73030 |
|
303 |
262 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
148 |
141 |
$3K |
| 93970 |
|
171 |
162 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
71 |
63 |
$2K |
| 73130 |
|
210 |
166 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
49 |
43 |
$1K |
| 76801 |
|
30 |
30 |
$908.10 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
30 |
24 |
$891.51 |
| 73610 |
|
49 |
45 |
$747.17 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
26 |
$729.68 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
22 |
12 |
$512.10 |
| 74018 |
|
107 |
98 |
$493.49 |
| 76642 |
|
17 |
12 |
$484.32 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$360.84 |
| 93971 |
|
28 |
25 |
$285.25 |
| 72110 |
|
14 |
13 |
$187.65 |
| 73502 |
|
29 |
25 |
$162.73 |