| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,835 |
1,466 |
$50K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,589 |
1,222 |
$37K |
| 70450 |
Computed tomography, head or brain; without contrast material |
435 |
396 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
422 |
412 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
286 |
276 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,429 |
2,078 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,073 |
1,035 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
178 |
174 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
216 |
211 |
$4K |
| 76642 |
|
164 |
123 |
$4K |
| 76830 |
Ultrasound, transvaginal |
74 |
71 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
91 |
70 |
$2K |
| 77066 |
Tomosynthesis, mammo |
50 |
34 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
16 |
$2K |
| 71250 |
|
53 |
52 |
$1K |
| 76770 |
|
37 |
36 |
$1K |
| 76641 |
|
38 |
29 |
$990.32 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
29 |
$725.47 |
| 76536 |
|
16 |
16 |
$486.49 |
| 73562 |
|
51 |
49 |
$476.27 |
| 73630 |
|
40 |
38 |
$384.84 |
| 77065 |
Tomosynthesis, mammo |
17 |
12 |
$374.24 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
15 |
$363.63 |
| 73030 |
|
32 |
30 |
$270.99 |
| 72110 |
|
13 |
13 |
$230.09 |
| 73610 |
|
13 |
12 |
$166.98 |
| 72170 |
|
18 |
17 |
$125.10 |
| 73130 |
|
12 |
12 |
$111.01 |