| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,412 |
3,327 |
$72K |
| 76641 |
|
2,415 |
1,424 |
$65K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,103 |
3,103 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,465 |
1,453 |
$54K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,522 |
1,506 |
$47K |
| 71045 |
Radiologic examination, chest; single view |
8,448 |
7,229 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,141 |
2,141 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
4,626 |
4,594 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
536 |
533 |
$14K |
| 76830 |
Ultrasound, transvaginal |
427 |
424 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
464 |
455 |
$7K |
| 73630 |
|
1,328 |
1,159 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
282 |
282 |
$5K |
| 73564 |
|
698 |
574 |
$5K |
| 77065 |
Tomosynthesis, mammo |
226 |
215 |
$5K |
| 72100 |
|
684 |
683 |
$4K |
| 76642 |
|
213 |
144 |
$4K |
| 93970 |
|
212 |
209 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
78 |
77 |
$3K |
| 77080 |
|
500 |
500 |
$3K |
| 73610 |
|
476 |
446 |
$2K |
| 73130 |
|
355 |
315 |
$2K |
| 76775 |
|
82 |
80 |
$2K |
| 73030 |
|
331 |
302 |
$1K |
| 71250 |
|
47 |
43 |
$843.05 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
25 |
$759.50 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
39 |
39 |
$631.96 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
28 |
$626.86 |
| 77066 |
Tomosynthesis, mammo |
16 |
16 |
$550.89 |
| 93880 |
|
28 |
28 |
$210.37 |
| 93971 |
|
12 |
12 |
$138.38 |
| 71101 |
|
13 |
13 |
$111.70 |
| 73562 |
|
15 |
14 |
$55.60 |
| 73110 |
|
12 |
12 |
$54.08 |