| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,379 |
2,991 |
$124K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,280 |
4,035 |
$104K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,447 |
4,490 |
$78K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,269 |
4,029 |
$67K |
| 76641 |
|
2,502 |
1,605 |
$53K |
| 71045 |
Radiologic examination, chest; single view |
13,618 |
10,696 |
$42K |
| 76642 |
|
895 |
783 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,649 |
2,411 |
$13K |
| 93975 |
|
172 |
143 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
490 |
448 |
$7K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
155 |
130 |
$6K |
| 77065 |
Tomosynthesis, mammo |
295 |
248 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
307 |
269 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
183 |
171 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
199 |
171 |
$5K |
| 76830 |
Ultrasound, transvaginal |
233 |
209 |
$4K |
| 76377 |
|
205 |
169 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
103 |
93 |
$3K |
| 71250 |
|
163 |
144 |
$2K |
| 71271 |
|
14 |
14 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
111 |
97 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
136 |
114 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
57 |
53 |
$2K |
| 70496 |
|
57 |
52 |
$2K |
| 77066 |
Tomosynthesis, mammo |
54 |
45 |
$1K |
| 74183 |
|
29 |
24 |
$1K |
| 70498 |
|
41 |
36 |
$1K |
| 77080 |
|
140 |
134 |
$629.76 |
| 77001 |
|
96 |
81 |
$554.40 |
| 77062 |
|
35 |
30 |
$518.00 |
| 74018 |
|
144 |
120 |
$501.65 |
| 72141 |
|
17 |
16 |
$469.50 |
| 70486 |
|
25 |
15 |
$468.44 |
| 73630 |
|
128 |
106 |
$459.36 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
15 |
14 |
$434.10 |
| 99152 |
|
98 |
82 |
$371.82 |
| 76536 |
|
42 |
33 |
$352.88 |
| 73562 |
|
87 |
64 |
$307.05 |
| 73030 |
|
79 |
67 |
$253.65 |
| 77061 |
|
13 |
13 |
$240.50 |
| 73610 |
|
56 |
52 |
$230.40 |
| 74240 |
|
14 |
13 |
$222.42 |
| 93970 |
|
19 |
16 |
$185.13 |
| 72100 |
|
32 |
29 |
$136.50 |
| 76937 |
|
16 |
15 |
$108.16 |
| 72110 |
|
16 |
14 |
$99.88 |
| 73130 |
|
34 |
24 |
$99.84 |