| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
19,911 |
17,806 |
$701K |
| 70450 |
Computed tomography, head or brain; without contrast material |
36,998 |
33,336 |
$586K |
| 71045 |
Radiologic examination, chest; single view |
141,729 |
108,752 |
$437K |
| 71046 |
Radiologic examination, chest; 2 views |
51,143 |
46,545 |
$290K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
9,912 |
8,908 |
$269K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
11,642 |
9,076 |
$190K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
2,914 |
2,512 |
$74K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,417 |
2,099 |
$44K |
| 74018 |
|
12,238 |
10,253 |
$43K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,389 |
1,182 |
$39K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,793 |
1,648 |
$35K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
812 |
694 |
$31K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,932 |
2,528 |
$29K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,981 |
1,742 |
$27K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,726 |
1,517 |
$22K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
1,474 |
843 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
512 |
449 |
$14K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
789 |
677 |
$12K |
| 93975 |
|
213 |
198 |
$9K |
| 76642 |
|
900 |
677 |
$9K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
610 |
515 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
609 |
524 |
$8K |
| 71250 |
|
1,158 |
1,024 |
$7K |
| 76770 |
|
803 |
705 |
$6K |
| 72100 |
|
1,756 |
1,548 |
$5K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
292 |
265 |
$5K |
| 70496 |
|
625 |
514 |
$5K |
| 73560 |
|
1,424 |
1,080 |
$3K |
| 93970 |
|
548 |
480 |
$3K |
| 93990 |
|
734 |
620 |
$3K |
| 93976 |
|
407 |
285 |
$3K |
| 70498 |
|
547 |
452 |
$3K |
| 72141 |
|
199 |
185 |
$2K |
| 73630 |
|
1,001 |
791 |
$2K |
| 77066 |
Tomosynthesis, mammo |
210 |
182 |
$2K |
| 36556 |
|
95 |
82 |
$2K |
| 73221 |
|
124 |
108 |
$2K |
| 74019 |
|
547 |
443 |
$2K |
| 93971 |
|
544 |
479 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
252 |
199 |
$2K |
| 73610 |
|
703 |
530 |
$2K |
| 73030 |
|
939 |
732 |
$1K |
| 70486 |
|
265 |
215 |
$1K |
| 73130 |
|
589 |
466 |
$1K |
| 99152 |
|
906 |
762 |
$1K |
| 77065 |
Tomosynthesis, mammo |
214 |
184 |
$951.90 |
| 36558 |
|
50 |
39 |
$900.85 |
| 77001 |
|
385 |
315 |
$829.98 |
| 76937 |
|
337 |
279 |
$767.17 |
| 76830 |
Ultrasound, transvaginal |
142 |
104 |
$732.51 |
| 72131 |
|
189 |
170 |
$621.99 |
| 73502 |
|
463 |
390 |
$504.61 |
| 78492 |
|
14 |
12 |
$469.40 |
| 76801 |
|
18 |
15 |
$468.38 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
12 |
$414.00 |
| 73110 |
|
223 |
165 |
$347.00 |
| 78264 |
|
12 |
12 |
$250.79 |
| 72040 |
|
297 |
228 |
$225.54 |
| 93880 |
|
30 |
24 |
$193.70 |
| 74178 |
|
122 |
94 |
$166.74 |
| 76536 |
|
54 |
41 |
$154.64 |
| 73562 |
|
137 |
93 |
$118.13 |
| 73590 |
|
130 |
95 |
$81.85 |
| 76376 |
|
14 |
14 |
$74.74 |
| 73090 |
|
64 |
43 |
$65.00 |
| 77012 |
|
14 |
12 |
$61.20 |
| 70491 |
|
30 |
25 |
$57.56 |
| 72070 |
|
69 |
54 |
$53.60 |
| 49083 |
|
35 |
25 |
$45.07 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
161 |
153 |
$23.14 |
| 76882 |
|
49 |
33 |
$20.13 |
| 73564 |
|
40 |
27 |
$18.84 |
| 73552 |
|
23 |
12 |
$15.30 |
| 73060 |
|
18 |
13 |
$3.39 |
| 99153 |
Mod sedat endo service >5yrs |
29 |
25 |
$1.19 |
| 73140 |
|
23 |
14 |
$0.00 |
| 77061 |
|
93 |
82 |
$0.00 |
| 0042T |
|
187 |
151 |
$0.00 |
| 72156 |
|
13 |
12 |
$0.00 |
| 77062 |
|
286 |
247 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,364 |
2,185 |
$0.00 |
| 78999 |
|
14 |
12 |
$0.00 |
| 72170 |
|
22 |
18 |
$0.00 |
| 62328 |
|
17 |
13 |
$0.00 |
| 70544 |
|
23 |
13 |
$0.00 |
| 74022 |
|
21 |
12 |
$0.00 |
| 76870 |
|
17 |
13 |
$0.00 |