| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,686 |
1,666 |
$105K |
| 71045 |
Radiologic examination, chest; single view |
13,856 |
12,473 |
$69K |
| 71046 |
Radiologic examination, chest; 2 views |
7,291 |
7,131 |
$52K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,010 |
1,972 |
$50K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
366 |
361 |
$21K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
614 |
609 |
$13K |
| 73630 |
|
711 |
695 |
$5K |
| 73610 |
|
502 |
492 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
101 |
101 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
46 |
42 |
$3K |
| 72100 |
|
386 |
380 |
$3K |
| 73562 |
|
329 |
318 |
$2K |
| 73030 |
|
308 |
299 |
$2K |
| 76642 |
|
69 |
69 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
58 |
58 |
$1K |
| 73130 |
|
198 |
193 |
$1K |
| 74018 |
|
220 |
211 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
53 |
53 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
24 |
$689.73 |
| 76536 |
|
30 |
30 |
$611.63 |
| 73110 |
|
84 |
83 |
$611.03 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$353.56 |
| 73560 |
|
40 |
40 |
$206.66 |
| 73502 |
|
12 |
12 |
$61.18 |