| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
239 |
236 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,732 |
1,693 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
408 |
383 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,615 |
1,206 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
292 |
289 |
$8K |
| 74018 |
|
317 |
248 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
47 |
47 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
53 |
49 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
55 |
55 |
$946.75 |
| 76642 |
|
38 |
30 |
$677.34 |
| 76830 |
Ultrasound, transvaginal |
28 |
28 |
$592.16 |
| 73630 |
|
70 |
65 |
$342.66 |
| 76857 |
|
15 |
15 |
$220.95 |
| 73130 |
|
28 |
26 |
$145.32 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
17 |
16 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
19 |
19 |
$0.00 |