| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,018 |
4,902 |
$274K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,692 |
5,555 |
$136K |
| 71045 |
Radiologic examination, chest; single view |
21,941 |
20,375 |
$121K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,339 |
2,292 |
$111K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,750 |
1,749 |
$38K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,088 |
2,078 |
$37K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,706 |
1,706 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
3,822 |
3,799 |
$26K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,295 |
1,276 |
$22K |
| 76641 |
|
1,014 |
809 |
$22K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
399 |
392 |
$17K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
113 |
113 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
795 |
780 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
575 |
569 |
$12K |
| 76770 |
|
702 |
697 |
$10K |
| 77066 |
Tomosynthesis, mammo |
361 |
361 |
$9K |
| 76830 |
Ultrasound, transvaginal |
506 |
505 |
$8K |
| 76882 |
|
454 |
417 |
$7K |
| 74018 |
|
1,027 |
998 |
$6K |
| 73630 |
|
1,073 |
961 |
$5K |
| 76801 |
|
188 |
176 |
$5K |
| 73030 |
|
780 |
699 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
199 |
191 |
$4K |
| 72100 |
|
539 |
538 |
$4K |
| 71250 |
|
267 |
264 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
217 |
214 |
$4K |
| 73562 |
|
839 |
712 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
276 |
275 |
$3K |
| 73130 |
|
556 |
527 |
$3K |
| 72114 |
|
369 |
369 |
$3K |
| 70496 |
|
88 |
85 |
$3K |
| 70498 |
|
109 |
105 |
$3K |
| 76536 |
|
295 |
294 |
$3K |
| 77080 |
|
542 |
541 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
113 |
112 |
$2K |
| 76642 |
|
101 |
99 |
$2K |
| 77065 |
Tomosynthesis, mammo |
106 |
106 |
$2K |
| 49083 |
|
26 |
12 |
$2K |
| 73610 |
|
327 |
321 |
$2K |
| 74178 |
|
41 |
40 |
$1K |
| 93970 |
|
38 |
38 |
$1K |
| 70491 |
|
47 |
47 |
$976.74 |
| 72050 |
|
115 |
115 |
$963.23 |
| 72131 |
|
42 |
42 |
$837.17 |
| 73502 |
|
162 |
152 |
$826.49 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
42 |
42 |
$714.14 |
| 93976 |
|
38 |
38 |
$626.46 |
| 73110 |
|
110 |
102 |
$559.05 |
| 73560 |
|
182 |
159 |
$535.23 |
| 70486 |
|
26 |
26 |
$495.98 |
| 77062 |
|
100 |
100 |
$485.10 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$451.05 |
| 72040 |
|
43 |
43 |
$307.89 |
| 93971 |
|
20 |
19 |
$193.53 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$120.71 |
| 72070 |
|
15 |
15 |
$92.99 |
| 73552 |
|
13 |
13 |
$73.21 |
| 73564 |
|
19 |
14 |
$27.31 |
| 72170 |
|
13 |
12 |
$21.30 |