| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,056 |
999 |
$60K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,193 |
1,152 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
601 |
579 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,087 |
1,050 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
3,840 |
3,228 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
125 |
122 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
205 |
200 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,173 |
1,058 |
$6K |
| 71250 |
|
118 |
114 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
130 |
126 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
64 |
63 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
89 |
87 |
$1K |
| 73630 |
|
138 |
125 |
$1K |
| 76641 |
|
70 |
53 |
$1K |
| 74018 |
|
265 |
236 |
$856.60 |
| 76642 |
|
39 |
28 |
$805.45 |
| 73610 |
|
43 |
38 |
$550.89 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
15 |
$527.06 |
| 73130 |
|
44 |
39 |
$364.06 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$345.90 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$324.28 |
| 77066 |
Tomosynthesis, mammo |
15 |
15 |
$210.01 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$190.64 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
22 |
17 |
$0.00 |
| 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) |
78 |
67 |
$0.00 |