| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,668 |
6,415 |
$248K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,916 |
9,312 |
$248K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,006 |
2,852 |
$112K |
| 71045 |
Radiologic examination, chest; single view |
22,333 |
19,826 |
$111K |
| 71046 |
Radiologic examination, chest; 2 views |
15,067 |
14,452 |
$108K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
946 |
903 |
$55K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,571 |
1,513 |
$37K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,033 |
1,952 |
$36K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
792 |
773 |
$28K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
836 |
795 |
$24K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
594 |
575 |
$14K |
| 73630 |
|
2,178 |
2,021 |
$14K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
325 |
308 |
$13K |
| 74018 |
|
1,573 |
1,482 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
451 |
429 |
$9K |
| 76830 |
Ultrasound, transvaginal |
351 |
341 |
$9K |
| 72110 |
|
772 |
754 |
$8K |
| 73130 |
|
1,220 |
1,137 |
$8K |
| 73610 |
|
1,174 |
1,118 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
311 |
301 |
$8K |
| 73564 |
|
822 |
733 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
392 |
385 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
134 |
121 |
$5K |
| 73030 |
|
730 |
670 |
$5K |
| 93971 |
|
301 |
285 |
$4K |
| 36573 |
|
61 |
57 |
$3K |
| 71250 |
|
71 |
67 |
$2K |
| 76801 |
|
63 |
61 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
45 |
42 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
40 |
37 |
$2K |
| 36569 |
|
32 |
29 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$1K |
| 73110 |
|
146 |
137 |
$913.08 |
| 73562 |
|
122 |
105 |
$787.48 |
| 72128 |
|
26 |
25 |
$721.13 |
| 76536 |
|
41 |
41 |
$675.68 |
| 93970 |
|
30 |
29 |
$603.82 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
26 |
25 |
$581.72 |
| 76376 |
|
193 |
182 |
$567.28 |
| 73502 |
|
65 |
62 |
$416.12 |
| 93976 |
|
19 |
14 |
$394.67 |
| 77066 |
Tomosynthesis, mammo |
13 |
12 |
$369.04 |
| 72131 |
|
17 |
13 |
$326.54 |
| 76937 |
|
32 |
29 |
$213.71 |
| 77001 |
|
32 |
29 |
$210.63 |
| 73590 |
|
31 |
24 |
$129.74 |
| 73080 |
|
30 |
28 |
$127.13 |
| 74230 |
|
12 |
12 |
$123.24 |
| 73560 |
|
20 |
19 |
$109.25 |
| 72100 |
|
12 |
12 |
$94.53 |