| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
4,983 |
4,652 |
$287K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,401 |
1,329 |
$133K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,354 |
2,212 |
$94K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,582 |
1,524 |
$55K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,604 |
1,449 |
$46K |
| 71045 |
Radiologic examination, chest; single view |
10,100 |
8,959 |
$38K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
973 |
901 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
4,610 |
4,237 |
$25K |
| 73630 |
|
1,246 |
1,109 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
354 |
344 |
$11K |
| 76830 |
Ultrasound, transvaginal |
338 |
323 |
$11K |
| 73610 |
|
824 |
754 |
$11K |
| 73130 |
|
933 |
779 |
$8K |
| 73562 |
|
865 |
744 |
$8K |
| 73030 |
|
684 |
581 |
$7K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
310 |
270 |
$6K |
| 74018 |
|
1,043 |
869 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
165 |
152 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
181 |
177 |
$3K |
| 76801 |
|
113 |
104 |
$3K |
| 73110 |
|
278 |
259 |
$3K |
| 71250 |
|
66 |
63 |
$2K |
| 93970 |
|
110 |
105 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
62 |
59 |
$1K |
| 72110 |
|
77 |
70 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
61 |
59 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$677.04 |
| 93971 |
|
68 |
62 |
$664.69 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
22 |
19 |
$637.46 |
| 70486 |
|
27 |
25 |
$623.59 |
| 76770 |
|
29 |
28 |
$571.02 |
| 73590 |
|
65 |
55 |
$554.20 |
| 73502 |
|
122 |
107 |
$452.65 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
13 |
$345.12 |
| 76642 |
|
13 |
12 |
$260.13 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
14 |
13 |
$207.84 |
| 99053 |
|
86 |
63 |
$0.00 |