| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
459 |
437 |
$29K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
345 |
339 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
383 |
364 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
963 |
904 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,676 |
1,274 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
85 |
85 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$2K |
| 73630 |
|
95 |
88 |
$2K |
| 76642 |
|
25 |
22 |
$1K |
| 76376 |
|
204 |
190 |
$1K |
| 73610 |
|
37 |
34 |
$783.15 |
| 73030 |
|
25 |
25 |
$516.52 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
25 |
$452.29 |
| 73130 |
|
38 |
37 |
$448.94 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
12 |
$388.20 |
| 74018 |
|
50 |
46 |
$288.82 |
| 73564 |
|
12 |
12 |
$160.21 |