| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,069 |
958 |
$76K |
| 71045 |
Radiologic examination, chest; single view |
7,412 |
4,922 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,059 |
935 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
976 |
942 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
3,535 |
3,123 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
974 |
940 |
$24K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
756 |
717 |
$19K |
| 76882 |
|
906 |
661 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
222 |
205 |
$14K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
136 |
123 |
$8K |
| 74018 |
|
686 |
535 |
$4K |
| 73562 |
|
505 |
433 |
$4K |
| 73610 |
|
493 |
444 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
83 |
78 |
$3K |
| 73630 |
|
442 |
396 |
$3K |
| 73130 |
|
390 |
337 |
$3K |
| 73030 |
|
308 |
273 |
$2K |
| 77065 |
Tomosynthesis, mammo |
58 |
51 |
$2K |
| 73110 |
|
193 |
177 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
53 |
52 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
31 |
27 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
30 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
15 |
12 |
$927.41 |
| 71250 |
|
13 |
13 |
$623.26 |
| 36573 |
|
19 |
15 |
$594.54 |
| 71271 |
|
14 |
12 |
$542.25 |
| 76642 |
|
14 |
14 |
$527.54 |
| 72100 |
|
61 |
56 |
$522.58 |
| 74019 |
|
60 |
56 |
$489.22 |
| 93976 |
|
12 |
12 |
$458.51 |
| 72110 |
|
43 |
41 |
$453.78 |
| 73502 |
|
50 |
49 |
$394.00 |
| 73140 |
|
16 |
14 |
$112.28 |