| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
3,781 |
3,461 |
$240K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,948 |
1,635 |
$50K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,897 |
1,582 |
$40K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
281 |
251 |
$29K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
408 |
381 |
$28K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
627 |
586 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
4,308 |
3,992 |
$25K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
257 |
231 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
3,865 |
3,257 |
$17K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
228 |
195 |
$16K |
| 70496 |
|
171 |
153 |
$15K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
456 |
398 |
$15K |
| 70498 |
|
163 |
151 |
$14K |
| 93970 |
|
298 |
264 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
179 |
172 |
$4K |
| 72141 |
|
40 |
28 |
$3K |
| 73562 |
|
287 |
236 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
74 |
73 |
$2K |
| 72100 |
|
165 |
164 |
$2K |
| 73030 |
|
167 |
143 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
45 |
28 |
$1K |
| 73630 |
|
115 |
97 |
$1K |
| 72110 |
|
59 |
54 |
$857.45 |
| 93976 |
|
42 |
41 |
$745.92 |
| 73610 |
|
37 |
33 |
$533.57 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
30 |
26 |
$527.65 |
| 76642 |
|
24 |
14 |
$481.72 |
| 72131 |
|
12 |
12 |
$479.92 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$476.99 |
| 93971 |
|
26 |
25 |
$320.93 |
| 70486 |
|
12 |
12 |
$279.01 |
| 76376 |
|
53 |
49 |
$204.46 |
| 73130 |
|
14 |
12 |
$118.95 |