| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
913 |
867 |
$45K |
| 70450 |
Computed tomography, head or brain; without contrast material |
969 |
918 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
332 |
314 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
729 |
727 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
570 |
523 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,117 |
1,994 |
$13K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
591 |
539 |
$12K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
242 |
240 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,701 |
1,404 |
$9K |
| 76830 |
Ultrasound, transvaginal |
421 |
420 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
400 |
400 |
$7K |
| 93976 |
|
262 |
256 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
274 |
216 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
211 |
209 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
216 |
210 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
77 |
77 |
$3K |
| 73630 |
|
573 |
499 |
$3K |
| 73564 |
|
285 |
259 |
$2K |
| 73610 |
|
315 |
287 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
53 |
53 |
$1K |
| 73130 |
|
276 |
239 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
40 |
$1K |
| 73030 |
|
180 |
160 |
$914.85 |
| 74018 |
|
186 |
173 |
$906.40 |
| 71250 |
|
29 |
29 |
$905.45 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$685.12 |
| 76536 |
|
38 |
38 |
$591.45 |
| 73221 |
|
12 |
12 |
$461.16 |
| 72110 |
|
53 |
53 |
$426.44 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$420.72 |
| 76770 |
|
13 |
13 |
$267.80 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$203.08 |
| 93971 |
|
15 |
12 |
$190.20 |
| 73110 |
|
40 |
38 |
$183.15 |