| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
962 |
927 |
$55K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
616 |
589 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
338 |
328 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,558 |
1,501 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,291 |
1,947 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
253 |
211 |
$7K |
| 76830 |
Ultrasound, transvaginal |
204 |
171 |
$7K |
| 73562 |
|
522 |
401 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
128 |
120 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
192 |
187 |
$4K |
| 73630 |
|
351 |
298 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
173 |
169 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
113 |
111 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
13 |
$2K |
| 73130 |
|
216 |
171 |
$2K |
| 73030 |
|
199 |
171 |
$2K |
| 73610 |
|
134 |
124 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
92 |
91 |
$2K |
| 72100 |
|
137 |
134 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
71 |
70 |
$1K |
| 73110 |
|
84 |
67 |
$835.11 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
30 |
30 |
$834.04 |
| 76770 |
|
39 |
39 |
$687.33 |
| 74018 |
|
176 |
160 |
$572.82 |
| 73502 |
|
123 |
116 |
$513.18 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
27 |
26 |
$449.90 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
13 |
$315.17 |
| 77065 |
Tomosynthesis, mammo |
14 |
12 |
$268.84 |
| 71250 |
|
12 |
12 |
$249.23 |
| 76642 |
|
13 |
12 |
$232.52 |