| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,539 |
1,484 |
$64K |
| 70450 |
Computed tomography, head or brain; without contrast material |
717 |
672 |
$40K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
642 |
622 |
$23K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
143 |
134 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
527 |
502 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
491 |
472 |
$9K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
234 |
231 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,704 |
1,482 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
217 |
211 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
109 |
102 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
532 |
501 |
$3K |
| 93970 |
|
130 |
124 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
28 |
28 |
$2K |
| 71250 |
|
53 |
50 |
$1K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
40 |
35 |
$1K |
| 73221 |
|
13 |
13 |
$1K |
| 76770 |
|
27 |
25 |
$743.77 |
| 93880 |
|
65 |
64 |
$682.34 |
| 76642 |
|
29 |
24 |
$594.35 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$366.69 |
| 73564 |
|
18 |
16 |
$273.35 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
14 |
12 |
$178.85 |
| 73562 |
|
14 |
12 |
$155.08 |
| 73030 |
|
12 |
12 |
$131.57 |
| 93971 |
|
12 |
12 |
$128.87 |