| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,361 |
1,294 |
$90K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,922 |
1,603 |
$52K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
904 |
876 |
$42K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,842 |
1,531 |
$41K |
| 76642 |
|
952 |
791 |
$22K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
808 |
635 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,866 |
2,613 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,134 |
2,730 |
$14K |
| 77065 |
Tomosynthesis, mammo |
470 |
365 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
95 |
94 |
$9K |
| 77066 |
Tomosynthesis, mammo |
271 |
212 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
137 |
134 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
238 |
233 |
$5K |
| 73564 |
|
352 |
285 |
$4K |
| 72100 |
|
328 |
318 |
$4K |
| 73630 |
|
319 |
294 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
79 |
79 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$3K |
| 73610 |
|
166 |
163 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
65 |
59 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
27 |
$2K |
| 73030 |
|
206 |
188 |
$2K |
| 74018 |
|
382 |
319 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
67 |
55 |
$2K |
| 73130 |
|
94 |
86 |
$1K |
| 93976 |
|
68 |
57 |
$984.16 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$914.90 |
| 76830 |
Ultrasound, transvaginal |
28 |
25 |
$885.31 |
| 73110 |
|
32 |
30 |
$374.87 |
| 76775 |
|
12 |
12 |
$350.68 |
| 93971 |
|
19 |
13 |
$213.01 |
| 72040 |
|
13 |
13 |
$153.28 |
| 77080 |
|
16 |
15 |
$149.03 |