| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
570 |
550 |
$33K |
| 71045 |
Radiologic examination, chest; single view |
1,859 |
1,750 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
189 |
186 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
265 |
218 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
153 |
150 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
932 |
922 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
247 |
202 |
$5K |
| 73610 |
|
242 |
239 |
$3K |
| 73030 |
|
274 |
265 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
69 |
65 |
$2K |
| 73630 |
|
231 |
225 |
$2K |
| 73130 |
|
186 |
180 |
$2K |
| 76642 |
|
68 |
61 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
44 |
43 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
53 |
31 |
$1K |
| 73110 |
|
123 |
122 |
$1K |
| 71250 |
|
40 |
40 |
$1K |
| 72100 |
|
90 |
90 |
$1K |
| 74018 |
|
221 |
215 |
$1K |
| 73562 |
|
91 |
89 |
$868.52 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
45 |
44 |
$831.48 |
| 77066 |
Tomosynthesis, mammo |
25 |
14 |
$826.53 |
| 73560 |
|
71 |
63 |
$499.73 |
| 73502 |
|
68 |
68 |
$322.16 |
| 76770 |
|
12 |
12 |
$310.90 |
| 72110 |
|
12 |
12 |
$175.47 |
| 73590 |
|
16 |
16 |
$164.30 |
| 72040 |
|
14 |
14 |
$154.01 |
| 73080 |
|
12 |
12 |
$129.00 |
| 93971 |
|
13 |
13 |
$110.82 |