| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,090 |
1,005 |
$66K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,525 |
1,342 |
$40K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
641 |
602 |
$30K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
710 |
584 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,093 |
2,764 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,043 |
966 |
$6K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
249 |
211 |
$5K |
| 76642 |
|
169 |
107 |
$3K |
| 77065 |
Tomosynthesis, mammo |
81 |
56 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
12 |
$2K |
| 93975 |
|
58 |
53 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
38 |
$1K |
| 76830 |
Ultrasound, transvaginal |
25 |
12 |
$862.80 |
| 77066 |
Tomosynthesis, mammo |
27 |
26 |
$770.32 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
13 |
$503.30 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$460.15 |
| 73630 |
|
27 |
13 |
$431.82 |
| 73610 |
|
17 |
12 |
$387.45 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$255.84 |
| 74018 |
|
47 |
39 |
$183.92 |