| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,936 |
2,696 |
$199K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,760 |
2,619 |
$125K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
901 |
844 |
$92K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,102 |
1,968 |
$53K |
| 71045 |
Radiologic examination, chest; single view |
9,314 |
7,411 |
$41K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,207 |
1,051 |
$40K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
952 |
833 |
$34K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
800 |
747 |
$30K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
719 |
683 |
$24K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
712 |
477 |
$19K |
| 76801 |
|
512 |
490 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
522 |
423 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,121 |
1,975 |
$13K |
| 76830 |
Ultrasound, transvaginal |
345 |
313 |
$13K |
| 71250 |
|
436 |
396 |
$12K |
| 76642 |
|
488 |
425 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
299 |
271 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
307 |
288 |
$11K |
| 77066 |
Tomosynthesis, mammo |
296 |
265 |
$9K |
| 73610 |
|
631 |
558 |
$9K |
| 73562 |
|
742 |
596 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
263 |
236 |
$8K |
| 73630 |
|
711 |
634 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
313 |
306 |
$6K |
| 73130 |
|
640 |
540 |
$6K |
| 70486 |
|
156 |
135 |
$6K |
| 73030 |
|
462 |
407 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
155 |
148 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
52 |
48 |
$4K |
| 74183 |
|
28 |
28 |
$4K |
| 73221 |
|
36 |
34 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
46 |
40 |
$4K |
| 73590 |
|
243 |
204 |
$2K |
| 73110 |
|
198 |
169 |
$2K |
| 76641 |
|
71 |
51 |
$2K |
| 70496 |
|
16 |
14 |
$2K |
| 74174 |
|
27 |
24 |
$2K |
| 72170 |
|
212 |
174 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
58 |
35 |
$2K |
| 70498 |
|
14 |
12 |
$2K |
| 77065 |
Tomosynthesis, mammo |
55 |
54 |
$1K |
| 76536 |
|
29 |
28 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
15 |
$1K |
| 73564 |
|
86 |
71 |
$1K |
| 73560 |
|
102 |
60 |
$975.89 |
| 73565 |
|
68 |
63 |
$973.05 |
| 71271 |
|
30 |
30 |
$945.94 |
| 93970 |
|
45 |
36 |
$750.07 |
| 73090 |
|
77 |
70 |
$674.58 |
| 74018 |
|
98 |
79 |
$421.05 |
| 73502 |
|
67 |
53 |
$375.21 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
12 |
$344.56 |
| 72100 |
|
26 |
26 |
$326.90 |
| 76775 |
|
13 |
13 |
$306.95 |
| 73552 |
|
47 |
39 |
$253.93 |
| 73080 |
|
13 |
12 |
$138.50 |
| 73140 |
|
15 |
15 |
$107.91 |