| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,971 |
2,821 |
$223K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,388 |
3,278 |
$128K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,063 |
3,687 |
$125K |
| 71045 |
Radiologic examination, chest; single view |
16,073 |
12,782 |
$109K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,379 |
3,270 |
$103K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,670 |
1,555 |
$47K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,041 |
998 |
$28K |
| 76642 |
|
852 |
788 |
$27K |
| 77066 |
Tomosynthesis, mammo |
504 |
478 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
861 |
784 |
$21K |
| 77065 |
Tomosynthesis, mammo |
443 |
396 |
$16K |
| 76830 |
Ultrasound, transvaginal |
617 |
563 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
70 |
66 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
567 |
538 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
71 |
63 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
91 |
89 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
51 |
49 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
57 |
57 |
$3K |
| 99152 |
|
60 |
55 |
$3K |
| 77049 |
|
27 |
26 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
68 |
64 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
38 |
37 |
$1K |
| 73030 |
|
75 |
65 |
$561.89 |
| 73610 |
|
68 |
60 |
$465.95 |
| 77080 |
|
42 |
39 |
$414.12 |
| 73630 |
|
55 |
49 |
$376.12 |
| 73564 |
|
45 |
36 |
$353.20 |
| 76770 |
|
12 |
12 |
$337.14 |
| 73130 |
|
36 |
28 |
$244.39 |
| 73562 |
|
35 |
27 |
$175.50 |
| 72100 |
|
14 |
13 |
$126.79 |
| 72110 |
|
12 |
12 |
$125.97 |
| 73502 |
|
12 |
12 |
$118.72 |
| 74018 |
|
13 |
12 |
$98.83 |
| 73110 |
|
14 |
12 |
$86.88 |