| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
29,365 |
25,350 |
$906K |
| 71045 |
Radiologic examination, chest; single view |
183,901 |
145,276 |
$495K |
| 70450 |
Computed tomography, head or brain; without contrast material |
39,042 |
33,815 |
$474K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16,626 |
14,327 |
$454K |
| 93976 |
|
14,359 |
10,234 |
$313K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15,953 |
15,018 |
$179K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
8,827 |
7,534 |
$172K |
| 74018 |
|
41,456 |
31,204 |
$129K |
| 71046 |
Radiologic examination, chest; 2 views |
32,608 |
29,373 |
$123K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
9,366 |
6,781 |
$108K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
4,272 |
3,627 |
$83K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
5,348 |
4,645 |
$82K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
8,674 |
7,107 |
$82K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
4,012 |
3,543 |
$81K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
3,365 |
3,035 |
$70K |
| 76642 |
|
4,228 |
3,214 |
$59K |
| 36556 |
|
1,349 |
1,109 |
$53K |
| 76770 |
|
4,930 |
4,192 |
$51K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
976 |
857 |
$36K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,277 |
3,022 |
$29K |
| 72100 |
|
7,258 |
6,540 |
$28K |
| 71250 |
|
2,753 |
2,321 |
$27K |
| 93975 |
|
543 |
421 |
$25K |
| 76937 |
|
9,445 |
6,660 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,357 |
1,021 |
$21K |
| 49083 |
|
376 |
281 |
$20K |
| 93971 |
|
2,496 |
2,249 |
$19K |
| 77066 |
Tomosynthesis, mammo |
1,018 |
797 |
$17K |
| 99152 |
|
2,331 |
1,627 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
929 |
773 |
$15K |
| 73560 |
|
4,204 |
3,448 |
$13K |
| 73630 |
|
3,509 |
3,057 |
$12K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
472 |
411 |
$11K |
| 76830 |
Ultrasound, transvaginal |
651 |
507 |
$10K |
| 75574 |
|
353 |
288 |
$10K |
| 76536 |
|
824 |
758 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
572 |
492 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
337 |
284 |
$7K |
| 73610 |
|
1,478 |
1,344 |
$6K |
| 73030 |
|
1,827 |
1,560 |
$6K |
| 72141 |
|
236 |
211 |
$5K |
| 77065 |
Tomosynthesis, mammo |
509 |
400 |
$5K |
| 70496 |
|
164 |
136 |
$5K |
| 73130 |
|
1,116 |
986 |
$4K |
| 70486 |
|
218 |
191 |
$4K |
| 77001 |
|
1,628 |
1,199 |
$4K |
| 36581 |
|
78 |
51 |
$4K |
| 93970 |
|
338 |
289 |
$4K |
| 73502 |
|
1,397 |
1,258 |
$4K |
| 77062 |
|
389 |
301 |
$4K |
| 75635 |
|
202 |
174 |
$3K |
| 72040 |
|
730 |
660 |
$3K |
| 76376 |
|
1,056 |
901 |
$3K |
| 93923 |
|
135 |
102 |
$2K |
| 70498 |
|
194 |
166 |
$2K |
| 73221 |
|
94 |
80 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
92 |
84 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
229 |
195 |
$2K |
| 76801 |
|
52 |
51 |
$2K |
| 73110 |
|
339 |
287 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
85 |
$1K |
| 93925 |
|
133 |
117 |
$1K |
| 36558 |
|
28 |
24 |
$1K |
| 74170 |
|
42 |
40 |
$930.45 |
| 93922 |
|
81 |
67 |
$882.97 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
71 |
53 |
$814.31 |
| 93880 |
|
143 |
133 |
$755.96 |
| 71271 |
|
107 |
92 |
$646.48 |
| 36569 |
|
13 |
13 |
$607.93 |
| 73620 |
|
335 |
216 |
$515.37 |
| 93926 |
|
55 |
52 |
$463.35 |
| 99153 |
Mod sedat endo service >5yrs |
116 |
79 |
$443.03 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
14 |
$417.14 |
| 77061 |
|
41 |
30 |
$361.90 |
| 73562 |
|
97 |
78 |
$324.54 |
| 77080 |
|
185 |
173 |
$315.92 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$284.68 |
| 74174 |
|
13 |
12 |
$248.22 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$140.22 |
| 73070 |
|
14 |
13 |
$49.29 |
| 73590 |
|
12 |
12 |
$45.78 |
| 99072 |
|
450 |
402 |
$0.00 |