| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
784 |
732 |
$53K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
343 |
312 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
94 |
89 |
$10K |
| 76801 |
|
201 |
177 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,333 |
921 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
117 |
109 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
136 |
126 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
167 |
157 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
129 |
117 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
149 |
97 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
89 |
84 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
403 |
368 |
$2K |
| 70498 |
|
18 |
17 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
92 |
89 |
$2K |
| 70496 |
|
17 |
16 |
$2K |
| 77066 |
Tomosynthesis, mammo |
36 |
31 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
23 |
$1K |
| 74018 |
|
189 |
111 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$875.13 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
49 |
48 |
$818.11 |
| 77065 |
Tomosynthesis, mammo |
32 |
27 |
$806.60 |
| 72128 |
|
20 |
16 |
$793.02 |
| 76642 |
|
40 |
23 |
$777.28 |
| 72131 |
|
20 |
17 |
$758.74 |
| 70486 |
|
13 |
13 |
$415.06 |
| 76830 |
Ultrasound, transvaginal |
13 |
12 |
$373.81 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$345.12 |
| 73090 |
|
31 |
27 |
$284.53 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
15 |
15 |
$254.44 |
| 93970 |
|
18 |
18 |
$139.04 |
| 77080 |
|
12 |
12 |
$102.00 |
| 73552 |
|
16 |
13 |
$89.40 |