| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,092 |
2,860 |
$113K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,569 |
2,470 |
$56K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,295 |
2,207 |
$55K |
| 76642 |
|
2,059 |
1,614 |
$44K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,890 |
1,727 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
4,644 |
4,295 |
$29K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
517 |
476 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
4,024 |
3,567 |
$19K |
| 77066 |
Tomosynthesis, mammo |
517 |
444 |
$11K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
528 |
467 |
$10K |
| 77065 |
Tomosynthesis, mammo |
610 |
515 |
$4K |
| 74018 |
|
538 |
490 |
$3K |
| 72100 |
|
389 |
378 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
164 |
161 |
$2K |
| 73630 |
|
368 |
342 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
86 |
82 |
$2K |
| 73030 |
|
349 |
312 |
$2K |
| 73130 |
|
308 |
286 |
$2K |
| 71250 |
|
81 |
74 |
$2K |
| 73610 |
|
257 |
242 |
$2K |
| 76830 |
Ultrasound, transvaginal |
58 |
57 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
26 |
25 |
$1K |
| 73110 |
|
134 |
124 |
$832.50 |
| 70486 |
|
28 |
27 |
$735.53 |
| 73564 |
|
79 |
69 |
$477.45 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$428.85 |
| 73560 |
|
41 |
32 |
$229.99 |
| 73502 |
|
12 |
12 |
$74.52 |