| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,033 |
906 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,237 |
1,037 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
456 |
394 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
328 |
297 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
4,388 |
2,907 |
$14K |
| 93975 |
|
244 |
225 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
367 |
356 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
284 |
256 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
122 |
116 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
367 |
356 |
$7K |
| 71250 |
|
341 |
307 |
$6K |
| 76801 |
|
177 |
149 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
260 |
233 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
337 |
308 |
$5K |
| 76830 |
Ultrasound, transvaginal |
209 |
199 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
221 |
205 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
803 |
744 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
215 |
195 |
$4K |
| 76642 |
|
204 |
181 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
126 |
111 |
$3K |
| 76770 |
|
189 |
173 |
$3K |
| 93971 |
|
277 |
240 |
$2K |
| 73564 |
|
325 |
306 |
$2K |
| 76536 |
|
115 |
111 |
$2K |
| 93970 |
|
115 |
103 |
$2K |
| 74018 |
|
399 |
328 |
$2K |
| 70498 |
|
36 |
34 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
87 |
75 |
$1K |
| 73030 |
|
286 |
257 |
$1K |
| 77065 |
Tomosynthesis, mammo |
79 |
68 |
$1K |
| 73630 |
|
350 |
307 |
$1K |
| 73610 |
|
236 |
211 |
$1K |
| 73130 |
|
223 |
204 |
$1K |
| 77066 |
Tomosynthesis, mammo |
34 |
32 |
$1K |
| 70486 |
|
43 |
40 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
138 |
124 |
$863.13 |
| 70496 |
|
23 |
21 |
$838.25 |
| 73502 |
|
159 |
141 |
$723.33 |
| 73110 |
|
116 |
106 |
$497.00 |
| 72100 |
|
73 |
69 |
$452.71 |
| 72110 |
|
39 |
36 |
$383.55 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
14 |
$306.74 |
| 73590 |
|
66 |
57 |
$293.85 |
| 73080 |
|
55 |
53 |
$244.98 |
| 73140 |
|
45 |
40 |
$216.62 |
| 73090 |
|
15 |
15 |
$90.28 |
| 72050 |
|
15 |
13 |
$88.74 |
| 73060 |
|
12 |
12 |
$32.13 |