| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
737 |
698 |
$44K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
474 |
444 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
3,045 |
2,622 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,513 |
1,421 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
106 |
93 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
91 |
68 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
79 |
56 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
54 |
$2K |
| 74018 |
|
127 |
121 |
$577.22 |
| 73630 |
|
53 |
49 |
$532.46 |
| 93975 |
|
15 |
14 |
$489.86 |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$474.33 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
14 |
$474.26 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
18 |
12 |
$439.56 |
| 73610 |
|
27 |
26 |
$351.03 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$265.60 |
| 73560 |
|
15 |
14 |
$116.88 |