| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,817 |
1,720 |
$124K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,052 |
1,029 |
$49K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,141 |
1,135 |
$27K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
203 |
187 |
$20K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,001 |
997 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
3,512 |
3,087 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,703 |
2,532 |
$15K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
329 |
307 |
$12K |
| 93975 |
|
268 |
212 |
$9K |
| 76642 |
|
390 |
343 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
188 |
179 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
302 |
295 |
$6K |
| 77065 |
Tomosynthesis, mammo |
107 |
92 |
$2K |
| 77066 |
Tomosynthesis, mammo |
85 |
79 |
$2K |
| 73630 |
|
216 |
196 |
$2K |
| 74018 |
|
441 |
386 |
$2K |
| 72100 |
|
143 |
134 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
119 |
101 |
$2K |
| 73610 |
|
127 |
108 |
$2K |
| 73564 |
|
132 |
109 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
31 |
26 |
$1K |
| 93971 |
|
68 |
66 |
$761.14 |
| 71250 |
|
26 |
25 |
$727.68 |
| 73030 |
|
48 |
38 |
$554.41 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
19 |
$550.30 |
| 76801 |
|
17 |
16 |
$525.64 |
| 73130 |
|
42 |
31 |
$470.20 |
| 73140 |
|
12 |
12 |
$157.73 |
| 77080 |
|
12 |
12 |
$107.78 |