| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,815 |
2,803 |
$73K |
| 71046 |
Radiologic examination, chest; 2 views |
8,578 |
8,400 |
$42K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,515 |
2,469 |
$37K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,779 |
2,779 |
$36K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
535 |
527 |
$23K |
| 76642 |
|
416 |
365 |
$9K |
| 76830 |
Ultrasound, transvaginal |
303 |
303 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
285 |
283 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,391 |
1,070 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
86 |
84 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
66 |
66 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
72 |
71 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
106 |
106 |
$2K |
| 77065 |
Tomosynthesis, mammo |
67 |
63 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
26 |
$930.14 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$463.85 |
| 77080 |
|
147 |
147 |
$407.88 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
17 |
14 |
$389.61 |
| 73630 |
|
87 |
78 |
$340.72 |
| 93971 |
|
29 |
28 |
$276.59 |
| 70544 |
|
13 |
13 |
$256.77 |
| 73562 |
|
31 |
27 |
$144.44 |
| 74018 |
|
12 |
12 |
$39.94 |