| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,327 |
4,213 |
$245K |
| 71045 |
Radiologic examination, chest; single view |
36,526 |
31,329 |
$177K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,819 |
3,710 |
$170K |
| 70450 |
Computed tomography, head or brain; without contrast material |
6,820 |
6,455 |
$150K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,723 |
1,695 |
$53K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,723 |
1,695 |
$43K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,003 |
2,114 |
$38K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,992 |
1,921 |
$25K |
| 93970 |
|
1,015 |
918 |
$24K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
230 |
225 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
720 |
712 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
363 |
355 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
263 |
253 |
$12K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
933 |
893 |
$12K |
| 76830 |
Ultrasound, transvaginal |
680 |
674 |
$12K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
244 |
240 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
589 |
574 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
358 |
336 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,128 |
1,113 |
$9K |
| 76642 |
|
320 |
290 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
169 |
154 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
390 |
370 |
$8K |
| 76770 |
|
573 |
548 |
$7K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
268 |
268 |
$6K |
| 77066 |
Tomosynthesis, mammo |
162 |
161 |
$6K |
| 74018 |
|
851 |
686 |
$4K |
| 72100 |
|
514 |
511 |
$3K |
| 73630 |
|
706 |
628 |
$3K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
14 |
14 |
$3K |
| 73610 |
|
538 |
485 |
$2K |
| 70498 |
|
56 |
55 |
$2K |
| 76536 |
|
188 |
187 |
$2K |
| 76801 |
|
86 |
77 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
109 |
102 |
$2K |
| 73030 |
|
368 |
328 |
$2K |
| 71250 |
|
213 |
181 |
$2K |
| 93971 |
|
231 |
214 |
$2K |
| 73562 |
|
362 |
293 |
$2K |
| 73130 |
|
338 |
292 |
$2K |
| 73221 |
|
27 |
26 |
$1K |
| 77065 |
Tomosynthesis, mammo |
56 |
52 |
$1K |
| 72141 |
|
26 |
26 |
$1K |
| 70496 |
|
25 |
25 |
$959.10 |
| 72110 |
|
73 |
73 |
$898.80 |
| 77080 |
|
85 |
85 |
$688.84 |
| 71271 |
|
14 |
14 |
$618.38 |
| 73560 |
|
197 |
170 |
$523.00 |
| 72040 |
|
68 |
68 |
$497.24 |
| 73110 |
|
74 |
69 |
$297.59 |
| 73502 |
|
41 |
36 |
$203.54 |
| 76857 |
|
13 |
12 |
$203.38 |
| 72170 |
|
36 |
27 |
$72.28 |
| 73140 |
|
13 |
13 |
$29.31 |