| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,729 |
1,578 |
$109K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,713 |
2,126 |
$80K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,643 |
2,058 |
$63K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
534 |
488 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
3,757 |
3,535 |
$21K |
| 77066 |
Tomosynthesis, mammo |
428 |
314 |
$18K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
525 |
489 |
$17K |
| 76830 |
Ultrasound, transvaginal |
499 |
470 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,859 |
3,200 |
$16K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
461 |
359 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
562 |
548 |
$12K |
| 76642 |
|
469 |
335 |
$11K |
| 76641 |
|
354 |
222 |
$10K |
| 77065 |
Tomosynthesis, mammo |
227 |
152 |
$8K |
| 76536 |
|
251 |
219 |
$7K |
| 76770 |
|
205 |
201 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
147 |
133 |
$4K |
| 73564 |
|
350 |
294 |
$4K |
| 72110 |
|
276 |
238 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
39 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
93 |
91 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
34 |
27 |
$3K |
| 73630 |
|
240 |
207 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
93 |
90 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
72 |
65 |
$2K |
| 73030 |
|
196 |
180 |
$2K |
| 74018 |
|
378 |
338 |
$2K |
| 73610 |
|
114 |
105 |
$2K |
| 73130 |
|
134 |
102 |
$1K |
| 93976 |
|
47 |
43 |
$979.47 |
| 76801 |
|
28 |
24 |
$878.02 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
26 |
$664.47 |
| 77080 |
|
43 |
40 |
$346.37 |
| 73502 |
|
38 |
37 |
$239.18 |
| 72050 |
|
12 |
12 |
$211.56 |
| 72100 |
|
14 |
13 |
$183.89 |