| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,930 |
2,479 |
$127K |
| 71045 |
Radiologic examination, chest; single view |
22,511 |
17,403 |
$94K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,898 |
4,104 |
$85K |
| 71046 |
Radiologic examination, chest; 2 views |
9,323 |
7,874 |
$59K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
585 |
464 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
592 |
461 |
$12K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
469 |
432 |
$9K |
| 74018 |
|
1,491 |
1,146 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
419 |
313 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
121 |
93 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
229 |
160 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
73 |
66 |
$3K |
| 73630 |
|
577 |
452 |
$3K |
| 76642 |
|
124 |
81 |
$2K |
| 73610 |
|
334 |
274 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
29 |
26 |
$815.11 |
| 77066 |
Tomosynthesis, mammo |
27 |
25 |
$758.66 |
| 93971 |
|
53 |
42 |
$589.12 |
| 73562 |
|
110 |
105 |
$564.18 |
| 73130 |
|
122 |
102 |
$551.81 |
| 72100 |
|
71 |
63 |
$426.49 |
| 73560 |
|
88 |
57 |
$373.13 |
| 73030 |
|
85 |
60 |
$353.37 |
| 73110 |
|
63 |
39 |
$290.50 |
| 73502 |
|
35 |
26 |
$149.14 |