| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,001 |
1,694 |
$88K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,105 |
1,015 |
$65K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,858 |
1,555 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
3,853 |
3,730 |
$29K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
343 |
323 |
$15K |
| 76642 |
|
457 |
347 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,957 |
2,633 |
$11K |
| 73630 |
|
800 |
740 |
$9K |
| 72100 |
|
530 |
524 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
61 |
59 |
$7K |
| 73030 |
|
513 |
483 |
$6K |
| 73610 |
|
387 |
364 |
$6K |
| 73130 |
|
511 |
459 |
$6K |
| 74018 |
|
854 |
801 |
$6K |
| 73562 |
|
277 |
250 |
$4K |
| 77066 |
Tomosynthesis, mammo |
103 |
76 |
$3K |
| 73110 |
|
234 |
220 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
126 |
108 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
65 |
55 |
$2K |
| 73080 |
|
85 |
73 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
16 |
$673.25 |
| 73560 |
|
63 |
56 |
$629.86 |
| 73502 |
|
84 |
81 |
$609.56 |
| 77065 |
Tomosynthesis, mammo |
16 |
12 |
$505.52 |
| 77080 |
|
13 |
12 |
$393.38 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$251.77 |
| 73140 |
|
12 |
12 |
$113.25 |
| 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) |
359 |
335 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
169 |
162 |
$0.00 |