| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,859 |
1,763 |
$99K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,740 |
2,477 |
$70K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,952 |
1,878 |
$66K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,589 |
2,338 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
7,025 |
6,442 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
765 |
732 |
$30K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
194 |
148 |
$21K |
| 93976 |
|
876 |
756 |
$17K |
| 73630 |
|
1,496 |
1,314 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
829 |
792 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
4,289 |
3,794 |
$14K |
| 73610 |
|
935 |
811 |
$12K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
86 |
65 |
$11K |
| 73030 |
|
1,196 |
1,085 |
$11K |
| 73110 |
|
823 |
683 |
$8K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
257 |
252 |
$8K |
| 73564 |
|
667 |
558 |
$7K |
| 73562 |
|
606 |
496 |
$6K |
| 72110 |
|
401 |
384 |
$6K |
| 73130 |
|
661 |
506 |
$6K |
| 76830 |
Ultrasound, transvaginal |
177 |
159 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
61 |
51 |
$5K |
| 71250 |
|
240 |
228 |
$4K |
| 76642 |
|
201 |
172 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
194 |
169 |
$3K |
| 76536 |
|
115 |
115 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
23 |
14 |
$3K |
| 74018 |
|
650 |
584 |
$3K |
| 72141 |
|
33 |
25 |
$3K |
| 78227 |
|
111 |
108 |
$3K |
| 73502 |
|
617 |
529 |
$3K |
| 73560 |
|
298 |
245 |
$2K |
| 93971 |
|
234 |
224 |
$2K |
| 72100 |
|
177 |
169 |
$2K |
| 76770 |
|
56 |
56 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
47 |
43 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
69 |
68 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 76641 |
|
32 |
25 |
$884.62 |
| 74178 |
|
15 |
14 |
$811.01 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
24 |
$609.66 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
44 |
41 |
$547.38 |
| 73080 |
|
49 |
42 |
$521.16 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
17 |
$310.36 |
| 72072 |
|
32 |
28 |
$306.11 |
| 77080 |
|
31 |
30 |
$209.89 |
| 73590 |
|
16 |
12 |
$106.69 |
| 73140 |
|
16 |
13 |
$94.63 |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
23 |
23 |
$0.00 |