| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
11,635 |
11,168 |
$530K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,205 |
8,857 |
$445K |
| 70450 |
Computed tomography, head or brain; without contrast material |
13,292 |
11,836 |
$288K |
| 71045 |
Radiologic examination, chest; single view |
47,978 |
28,852 |
$222K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
6,051 |
5,942 |
$188K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
2,154 |
2,130 |
$128K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
3,912 |
3,857 |
$104K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,695 |
4,686 |
$100K |
| 70496 |
|
2,064 |
1,907 |
$91K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,861 |
4,768 |
$90K |
| 76830 |
Ultrasound, transvaginal |
4,577 |
4,497 |
$87K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,681 |
1,658 |
$81K |
| 70498 |
|
1,826 |
1,706 |
$79K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,679 |
4,538 |
$73K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,134 |
4,126 |
$70K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,626 |
1,616 |
$62K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,405 |
3,157 |
$62K |
| 71250 |
|
2,261 |
2,196 |
$62K |
| 76801 |
|
2,076 |
1,918 |
$57K |
| 74178 |
|
1,107 |
1,092 |
$56K |
| 76770 |
|
2,597 |
2,552 |
$50K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,320 |
2,142 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
8,359 |
7,746 |
$48K |
| 76641 |
|
2,146 |
1,584 |
$43K |
| 93976 |
|
1,890 |
1,850 |
$41K |
| 72131 |
|
1,596 |
1,580 |
$40K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,731 |
1,726 |
$37K |
| 70486 |
|
1,630 |
1,610 |
$37K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
769 |
744 |
$29K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
751 |
742 |
$29K |
| 72141 |
|
708 |
704 |
$27K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
913 |
898 |
$26K |
| 73630 |
|
4,189 |
3,828 |
$19K |
| 73562 |
|
3,649 |
3,242 |
$18K |
| 73130 |
|
3,732 |
3,259 |
$18K |
| 76536 |
|
1,177 |
1,160 |
$18K |
| 70491 |
|
430 |
419 |
$16K |
| 71271 |
|
515 |
515 |
$15K |
| 73610 |
|
3,121 |
2,753 |
$15K |
| 73030 |
|
2,919 |
2,656 |
$15K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
346 |
346 |
$13K |
| 74018 |
|
2,659 |
2,215 |
$12K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
209 |
208 |
$12K |
| 73110 |
|
2,054 |
1,777 |
$10K |
| 72110 |
|
1,274 |
1,264 |
$10K |
| 73502 |
|
1,607 |
1,515 |
$9K |
| 77065 |
Tomosynthesis, mammo |
404 |
353 |
$8K |
| 74022 |
|
947 |
930 |
$8K |
| 73590 |
|
1,740 |
1,575 |
$8K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
259 |
259 |
$7K |
| 76377 |
|
280 |
273 |
$6K |
| 72158 |
|
93 |
93 |
$6K |
| 73221 |
|
133 |
129 |
$5K |
| 73090 |
|
1,041 |
956 |
$5K |
| 73080 |
|
998 |
928 |
$5K |
| 72100 |
|
745 |
733 |
$5K |
| 93975 |
|
131 |
127 |
$4K |
| 74183 |
|
75 |
75 |
$4K |
| 76870 |
|
214 |
209 |
$4K |
| 93971 |
|
307 |
305 |
$4K |
| 49083 |
|
54 |
24 |
$3K |
| 71101 |
|
364 |
363 |
$3K |
| 77066 |
Tomosynthesis, mammo |
89 |
88 |
$2K |
| 73552 |
|
493 |
455 |
$2K |
| 73060 |
|
474 |
436 |
$2K |
| 74019 |
|
349 |
336 |
$2K |
| 73700 |
|
79 |
77 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
103 |
103 |
$2K |
| 77012 |
|
48 |
48 |
$2K |
| 99152 |
|
291 |
282 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
55 |
41 |
$1K |
| 76882 |
|
82 |
70 |
$1K |
| 72070 |
|
105 |
105 |
$611.88 |
| 72040 |
|
101 |
94 |
$592.08 |
| 72170 |
|
110 |
109 |
$509.10 |
| 72146 |
|
12 |
12 |
$462.00 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
15 |
$360.99 |
| 76376 |
|
62 |
61 |
$323.95 |
| 77080 |
|
12 |
12 |
$68.99 |
| 73600 |
|
13 |
12 |
$55.08 |
| 99153 |
Mod sedat endo service >5yrs |
124 |
118 |
$6.00 |
| 77062 |
|
12 |
12 |
$0.00 |
| 0042T |
|
12 |
12 |
$0.00 |