| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,400 |
6,265 |
$378K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,259 |
4,248 |
$121K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,719 |
5,359 |
$120K |
| 71046 |
Radiologic examination, chest; 2 views |
14,231 |
13,909 |
$100K |
| 71045 |
Radiologic examination, chest; single view |
15,299 |
12,162 |
$79K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,897 |
2,887 |
$66K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
555 |
549 |
$30K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,016 |
1,012 |
$26K |
| 73630 |
|
3,178 |
2,841 |
$19K |
| 76830 |
Ultrasound, transvaginal |
963 |
958 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
617 |
582 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
806 |
800 |
$16K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
867 |
855 |
$15K |
| 73030 |
|
1,467 |
1,355 |
$9K |
| 73130 |
|
1,248 |
1,095 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
161 |
158 |
$7K |
| 73610 |
|
930 |
873 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
194 |
181 |
$6K |
| 73564 |
|
756 |
654 |
$5K |
| 76642 |
|
180 |
165 |
$4K |
| 73110 |
|
513 |
484 |
$3K |
| 72100 |
|
279 |
277 |
$2K |
| 76770 |
|
75 |
74 |
$2K |
| 93971 |
|
139 |
138 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
42 |
39 |
$1K |
| 76536 |
|
64 |
63 |
$1K |
| 73562 |
|
185 |
174 |
$1K |
| 73502 |
|
156 |
153 |
$952.10 |
| 74018 |
|
145 |
138 |
$829.01 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
38 |
38 |
$675.33 |
| 71020 |
|
74 |
37 |
$499.52 |
| 72110 |
|
45 |
45 |
$462.56 |
| 76641 |
|
22 |
15 |
$349.06 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$277.15 |
| 72050 |
|
26 |
26 |
$264.10 |
| 74021 |
|
28 |
25 |
$233.60 |
| 73080 |
|
26 |
26 |
$153.73 |