| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,433 |
2,214 |
$161K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,666 |
3,104 |
$93K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,539 |
2,992 |
$72K |
| 71046 |
Radiologic examination, chest; 2 views |
7,275 |
6,542 |
$42K |
| 71045 |
Radiologic examination, chest; single view |
5,619 |
4,522 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
440 |
398 |
$20K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
133 |
118 |
$15K |
| 73562 |
|
1,305 |
1,122 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
341 |
299 |
$10K |
| 73030 |
|
838 |
761 |
$9K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
331 |
248 |
$8K |
| 93970 |
|
356 |
312 |
$5K |
| 77065 |
Tomosynthesis, mammo |
104 |
72 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
136 |
129 |
$3K |
| 73610 |
|
169 |
148 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
83 |
77 |
$2K |
| 77066 |
Tomosynthesis, mammo |
48 |
28 |
$2K |
| 73630 |
|
173 |
154 |
$2K |
| 76642 |
|
78 |
66 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
50 |
42 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
56 |
54 |
$2K |
| 73130 |
|
141 |
119 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
44 |
38 |
$948.92 |
| 93971 |
|
85 |
70 |
$887.35 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$465.41 |
| 73502 |
|
58 |
52 |
$359.16 |
| 78580 |
|
19 |
14 |
$252.49 |
| 72110 |
|
14 |
14 |
$234.24 |
| 73110 |
|
18 |
12 |
$199.80 |
| 74018 |
|
27 |
26 |
$106.86 |
| 76376 |
|
13 |
12 |
$51.56 |