| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,498 |
4,396 |
$248K |
| 71046 |
Radiologic examination, chest; 2 views |
9,956 |
9,565 |
$67K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,722 |
2,576 |
$62K |
| 71045 |
Radiologic examination, chest; single view |
11,291 |
9,166 |
$59K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,138 |
2,113 |
$47K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
117 |
115 |
$8K |
| 76642 |
|
220 |
216 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
85 |
83 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
95 |
93 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
163 |
159 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
39 |
39 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
66 |
66 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
45 |
45 |
$1K |
| 73630 |
|
158 |
151 |
$1K |
| 93971 |
|
52 |
52 |
$700.94 |
| 74018 |
|
105 |
95 |
$697.41 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$653.48 |
| 99152 |
|
56 |
50 |
$633.10 |
| 73130 |
|
73 |
67 |
$565.60 |
| 76377 |
|
17 |
16 |
$556.08 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$416.32 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$350.96 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$338.94 |
| 77080 |
|
58 |
55 |
$145.98 |
| 73110 |
|
12 |
12 |
$102.76 |
| 73030 |
|
13 |
13 |
$94.21 |
| 73562 |
|
15 |
12 |
$93.34 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,143 |
2,113 |
$26.56 |
| 77089 |
|
15 |
15 |
$0.00 |