| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,412 |
5,708 |
$346K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,849 |
7,141 |
$170K |
| 71046 |
Radiologic examination, chest; 2 views |
19,121 |
17,196 |
$123K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,341 |
4,131 |
$123K |
| 71045 |
Radiologic examination, chest; single view |
23,735 |
18,596 |
$105K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,601 |
1,403 |
$83K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,599 |
3,449 |
$82K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
844 |
737 |
$40K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,217 |
1,097 |
$23K |
| 76642 |
|
921 |
726 |
$20K |
| 76830 |
Ultrasound, transvaginal |
378 |
343 |
$10K |
| 77066 |
Tomosynthesis, mammo |
232 |
198 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
321 |
276 |
$8K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
257 |
237 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
61 |
60 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
141 |
132 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
99 |
91 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
135 |
117 |
$3K |
| 77065 |
Tomosynthesis, mammo |
133 |
103 |
$3K |
| 71250 |
|
88 |
79 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
31 |
31 |
$1K |
| 74018 |
|
186 |
135 |
$965.03 |
| 77062 |
|
79 |
77 |
$933.42 |
| 73630 |
|
149 |
123 |
$758.60 |
| 76770 |
|
45 |
37 |
$749.41 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
13 |
$547.44 |
| 93976 |
|
13 |
13 |
$438.32 |
| 73610 |
|
74 |
53 |
$354.06 |
| 99152 |
|
39 |
29 |
$203.74 |
| 73030 |
|
26 |
24 |
$148.80 |
| 77061 |
|
13 |
13 |
$103.00 |
| 73564 |
|
14 |
12 |
$102.50 |
| 72100 |
|
12 |
12 |
$93.29 |