| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,470 |
1,339 |
$54K |
| 71046 |
Radiologic examination, chest; 2 views |
5,137 |
4,760 |
$33K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,395 |
1,241 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
422 |
402 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
3,769 |
3,299 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
699 |
676 |
$15K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
664 |
589 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
567 |
551 |
$12K |
| 76830 |
Ultrasound, transvaginal |
301 |
284 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
261 |
244 |
$4K |
| 76857 |
|
271 |
257 |
$4K |
| 73630 |
|
497 |
426 |
$3K |
| 73610 |
|
343 |
297 |
$2K |
| 73562 |
|
312 |
245 |
$2K |
| 72100 |
|
298 |
285 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
24 |
$2K |
| 74018 |
|
185 |
170 |
$1K |
| 73030 |
|
190 |
158 |
$1K |
| 76642 |
|
46 |
45 |
$930.89 |
| 73130 |
|
163 |
152 |
$837.87 |
| 73110 |
|
112 |
100 |
$650.89 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
15 |
$553.24 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
12 |
$463.08 |
| 71271 |
|
16 |
16 |
$453.32 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$357.84 |
| 73560 |
|
73 |
60 |
$347.59 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$328.02 |
| 74022 |
|
31 |
31 |
$297.29 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
15 |
15 |
$232.57 |
| 73502 |
|
24 |
24 |
$150.04 |