| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
336 |
314 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
5,112 |
4,142 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
2,986 |
2,877 |
$18K |
| 73630 |
|
277 |
258 |
$3K |
| 73610 |
|
192 |
187 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
55 |
51 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
95 |
95 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
73 |
72 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
89 |
73 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
95 |
95 |
$2K |
| 73560 |
|
114 |
105 |
$936.95 |
| 76642 |
|
39 |
19 |
$863.64 |
| 77066 |
Tomosynthesis, mammo |
21 |
13 |
$805.31 |
| 93971 |
|
44 |
44 |
$510.56 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
16 |
$509.80 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$402.02 |
| 73030 |
|
29 |
27 |
$293.39 |
| 73110 |
|
25 |
24 |
$251.59 |
| 74018 |
|
26 |
25 |
$126.72 |
| 73140 |
|
13 |
13 |
$93.21 |