| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
7,251 |
6,964 |
$456K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,426 |
5,224 |
$323K |
| 71045 |
Radiologic examination, chest; single view |
26,202 |
21,970 |
$171K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,960 |
5,644 |
$164K |
| 71046 |
Radiologic examination, chest; 2 views |
10,784 |
10,407 |
$90K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,779 |
2,702 |
$83K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,716 |
1,683 |
$40K |
| 72100 |
|
2,933 |
2,840 |
$26K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
269 |
252 |
$16K |
| 73630 |
|
2,164 |
1,876 |
$15K |
| 73562 |
|
2,139 |
1,634 |
$15K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
348 |
338 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
597 |
568 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
322 |
311 |
$11K |
| 73030 |
|
1,621 |
1,366 |
$11K |
| 73130 |
|
1,275 |
1,014 |
$9K |
| 72040 |
|
664 |
654 |
$6K |
| 71250 |
|
190 |
184 |
$5K |
| 74018 |
|
652 |
619 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
144 |
139 |
$5K |
| 73610 |
|
634 |
573 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
173 |
166 |
$4K |
| 76830 |
Ultrasound, transvaginal |
103 |
103 |
$2K |
| 73502 |
|
216 |
192 |
$2K |
| 72141 |
|
43 |
39 |
$2K |
| 76642 |
|
116 |
89 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
68 |
66 |
$1K |
| 74019 |
|
140 |
135 |
$1K |
| 73110 |
|
172 |
149 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
62 |
62 |
$1K |
| 93971 |
|
71 |
70 |
$914.15 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$766.19 |
| 76770 |
|
24 |
24 |
$540.09 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
28 |
28 |
$493.20 |
| 71271 |
|
12 |
12 |
$445.76 |
| 93976 |
|
12 |
12 |
$334.99 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$331.95 |
| 93970 |
|
17 |
16 |
$264.34 |
| 76536 |
|
26 |
26 |
$195.74 |
| 73590 |
|
30 |
24 |
$176.06 |
| 72110 |
|
13 |
13 |
$156.22 |
| 72050 |
|
12 |
12 |
$137.64 |
| 73080 |
|
16 |
15 |
$125.49 |
| 72120 |
|
13 |
13 |
$94.85 |
| 77080 |
|
12 |
12 |
$90.90 |