| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
797 |
785 |
$53K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
881 |
881 |
$30K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
881 |
881 |
$24K |
| 70450 |
Computed tomography, head or brain; without contrast material |
764 |
747 |
$18K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
501 |
500 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,449 |
1,429 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
410 |
410 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
507 |
497 |
$10K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
257 |
257 |
$10K |
| 76830 |
Ultrasound, transvaginal |
418 |
417 |
$9K |
| 76801 |
|
225 |
210 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
132 |
130 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
220 |
205 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,103 |
900 |
$6K |
| 76642 |
|
166 |
148 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
83 |
82 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
153 |
147 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
84 |
80 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
135 |
135 |
$4K |
| 76770 |
|
144 |
144 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
113 |
113 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
122 |
122 |
$3K |
| 76641 |
|
77 |
41 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
62 |
61 |
$2K |
| 77066 |
Tomosynthesis, mammo |
47 |
47 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
81 |
79 |
$2K |
| 70496 |
|
26 |
26 |
$2K |
| 73562 |
|
287 |
249 |
$1K |
| 77065 |
Tomosynthesis, mammo |
37 |
37 |
$1K |
| 93971 |
|
124 |
122 |
$1K |
| 73030 |
|
190 |
170 |
$1K |
| 73630 |
|
192 |
181 |
$1K |
| 70498 |
|
26 |
26 |
$1K |
| 76870 |
|
44 |
44 |
$1K |
| 73610 |
|
164 |
161 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
19 |
19 |
$1K |
| 74018 |
|
134 |
112 |
$907.85 |
| 73564 |
|
126 |
110 |
$875.96 |
| 73130 |
|
123 |
105 |
$750.02 |
| 72100 |
|
89 |
89 |
$627.65 |
| 73110 |
|
96 |
91 |
$580.37 |
| 76536 |
|
46 |
46 |
$522.12 |
| 72110 |
|
43 |
43 |
$489.77 |
| 73502 |
|
73 |
71 |
$474.22 |
| 77080 |
|
42 |
42 |
$337.02 |
| 73140 |
|
79 |
74 |
$296.97 |
| 76882 |
|
16 |
15 |
$281.28 |
| 73080 |
|
40 |
38 |
$255.42 |
| 73560 |
|
48 |
39 |
$188.10 |
| 73090 |
|
27 |
25 |
$128.30 |
| 73590 |
|
19 |
18 |
$86.72 |