| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,474 |
1,383 |
$84K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,249 |
1,196 |
$53K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
266 |
249 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
841 |
830 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
464 |
448 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
820 |
809 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,131 |
2,668 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
172 |
161 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
221 |
192 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,324 |
1,232 |
$7K |
| 71250 |
|
248 |
232 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
22 |
12 |
$5K |
| 76642 |
|
121 |
105 |
$3K |
| 77066 |
Tomosynthesis, mammo |
55 |
51 |
$2K |
| 73630 |
|
152 |
141 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
27 |
25 |
$1K |
| 73610 |
|
77 |
70 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$950.82 |
| 77065 |
Tomosynthesis, mammo |
42 |
38 |
$760.91 |
| 73130 |
|
47 |
43 |
$416.24 |
| 74018 |
|
103 |
95 |
$384.69 |
| 73030 |
|
40 |
39 |
$369.22 |
| 73564 |
|
31 |
31 |
$322.26 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$174.84 |
| 72110 |
|
12 |
12 |
$171.84 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$162.18 |
| 73502 |
|
12 |
12 |
$62.57 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
19 |
13 |
$0.00 |