| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,632 |
3,015 |
$109K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,090 |
3,315 |
$45K |
| 71045 |
Radiologic examination, chest; single view |
16,168 |
12,719 |
$40K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,138 |
889 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
4,143 |
3,536 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
642 |
506 |
$8K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
953 |
826 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
475 |
394 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
912 |
790 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
218 |
186 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
432 |
359 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
303 |
236 |
$4K |
| 73630 |
|
493 |
402 |
$1K |
| 73610 |
|
433 |
332 |
$1K |
| 74018 |
|
351 |
297 |
$1K |
| 73130 |
|
324 |
248 |
$977.88 |
| 71250 |
|
60 |
53 |
$864.72 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
70 |
54 |
$593.85 |
| 73110 |
|
205 |
152 |
$576.49 |
| 73562 |
|
196 |
139 |
$535.46 |
| 73030 |
|
188 |
132 |
$501.82 |
| 76830 |
Ultrasound, transvaginal |
30 |
25 |
$480.56 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
24 |
$412.30 |
| 77066 |
Tomosynthesis, mammo |
26 |
24 |
$386.27 |
| 73090 |
|
58 |
37 |
$163.85 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
14 |
13 |
$151.30 |
| 76642 |
|
14 |
12 |
$136.83 |
| 76641 |
|
17 |
13 |
$105.55 |
| 73502 |
|
59 |
41 |
$105.30 |
| 72100 |
|
34 |
28 |
$94.53 |
| 74019 |
|
59 |
46 |
$90.64 |
| 73590 |
|
16 |
15 |
$61.21 |
| 72110 |
|
16 |
15 |
$59.08 |
| 76376 |
|
14 |
14 |
$57.84 |
| 76000 |
|
14 |
14 |
$56.44 |