| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,169 |
1,120 |
$80K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,579 |
1,554 |
$38K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
617 |
601 |
$27K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,414 |
1,394 |
$25K |
| 76642 |
|
970 |
857 |
$23K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
178 |
167 |
$20K |
| 77066 |
Tomosynthesis, mammo |
372 |
291 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,644 |
1,495 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,733 |
1,493 |
$7K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
433 |
388 |
$7K |
| 77065 |
Tomosynthesis, mammo |
231 |
177 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
76 |
73 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
87 |
75 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
40 |
40 |
$1K |
| 93976 |
|
26 |
12 |
$528.33 |
| 73610 |
|
40 |
40 |
$503.24 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
24 |
12 |
$455.94 |
| 73130 |
|
48 |
29 |
$447.51 |
| 74018 |
|
63 |
51 |
$324.74 |
| 93971 |
|
40 |
28 |
$308.67 |
| 73030 |
|
19 |
14 |
$238.83 |
| 73630 |
|
13 |
12 |
$186.17 |
| 73564 |
|
14 |
12 |
$182.82 |
| 72100 |
|
12 |
12 |
$160.12 |
| 77080 |
|
12 |
12 |
$107.91 |