| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,013 |
945 |
$60K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
611 |
582 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
2,967 |
2,579 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
319 |
282 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
294 |
257 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
946 |
891 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
50 |
49 |
$977.05 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
27 |
27 |
$879.25 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
25 |
$751.95 |
| 76642 |
|
29 |
14 |
$625.68 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
18 |
18 |
$470.71 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
16 |
13 |
$356.24 |
| 73610 |
|
16 |
16 |
$225.83 |
| 93976 |
|
14 |
14 |
$217.56 |
| 74018 |
|
15 |
12 |
$82.00 |