| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,411 |
4,095 |
$203K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,675 |
4,426 |
$103K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,017 |
4,607 |
$87K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,660 |
4,413 |
$81K |
| 71046 |
Radiologic examination, chest; 2 views |
13,526 |
12,727 |
$68K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,340 |
1,257 |
$52K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,125 |
1,050 |
$31K |
| 76642 |
|
1,323 |
1,151 |
$27K |
| 71045 |
Radiologic examination, chest; single view |
6,804 |
5,497 |
$24K |
| 71250 |
|
968 |
826 |
$21K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,387 |
1,246 |
$21K |
| 49083 |
|
239 |
106 |
$14K |
| 77065 |
Tomosynthesis, mammo |
515 |
453 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
264 |
239 |
$11K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
146 |
131 |
$6K |
| 77066 |
Tomosynthesis, mammo |
237 |
205 |
$6K |
| 76770 |
|
365 |
328 |
$5K |
| 74018 |
|
590 |
542 |
$3K |
| 76981 |
|
66 |
64 |
$1K |
| 73562 |
|
307 |
264 |
$1K |
| 76830 |
Ultrasound, transvaginal |
70 |
63 |
$899.35 |
| 73630 |
|
296 |
273 |
$847.58 |
| 76536 |
|
43 |
41 |
$763.93 |
| 73610 |
|
194 |
183 |
$606.40 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
12 |
$525.99 |
| 77080 |
|
89 |
87 |
$492.59 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
86 |
76 |
$361.33 |
| 77062 |
|
12 |
12 |
$340.55 |
| 93971 |
|
51 |
49 |
$310.53 |
| 72110 |
|
27 |
26 |
$237.41 |
| 93970 |
|
13 |
12 |
$199.98 |
| 74019 |
|
14 |
14 |
$116.38 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
55 |
$107.10 |
| 72100 |
|
12 |
12 |
$97.40 |
| 93922 |
|
13 |
13 |
$65.47 |
| 73030 |
|
12 |
12 |
$59.10 |
| 73130 |
|
37 |
34 |
$7.20 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$0.00 |
| 73110 |
|
14 |
14 |
$0.00 |