| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,164 |
1,098 |
$61K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,381 |
1,288 |
$35K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,145 |
1,054 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
455 |
433 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
4,811 |
4,042 |
$16K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
104 |
98 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,389 |
1,318 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
87 |
86 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
76 |
74 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
27 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
126 |
126 |
$2K |
| 76642 |
|
107 |
91 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
70 |
68 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
58 |
57 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
73 |
66 |
$2K |
| 76830 |
Ultrasound, transvaginal |
49 |
47 |
$2K |
| 74018 |
|
342 |
305 |
$1K |
| 73564 |
|
92 |
79 |
$1K |
| 72141 |
|
12 |
12 |
$945.75 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
25 |
$814.81 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
46 |
42 |
$694.16 |
| 73610 |
|
53 |
53 |
$687.10 |
| 77065 |
Tomosynthesis, mammo |
27 |
27 |
$638.38 |
| 73130 |
|
67 |
61 |
$616.19 |
| 76536 |
|
22 |
21 |
$558.47 |
| 73030 |
|
46 |
44 |
$449.09 |
| 77066 |
Tomosynthesis, mammo |
16 |
14 |
$410.64 |
| 73630 |
|
28 |
27 |
$286.15 |
| 73562 |
|
19 |
12 |
$282.93 |
| 73502 |
|
17 |
12 |
$105.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
14 |
13 |
$0.00 |
| 3341F |
|
13 |
13 |
$0.00 |
| 7025F |
|
80 |
79 |
$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) |
83 |
67 |
$0.00 |