| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,207 |
1,144 |
$63K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
826 |
803 |
$35K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
781 |
756 |
$29K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
395 |
389 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
3,478 |
3,001 |
$14K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
196 |
193 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
148 |
139 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
325 |
302 |
$10K |
| 71250 |
|
316 |
297 |
$9K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
127 |
126 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,287 |
1,192 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
170 |
159 |
$7K |
| 73630 |
|
723 |
676 |
$6K |
| 72141 |
|
74 |
74 |
$6K |
| 72100 |
|
419 |
400 |
$5K |
| 73610 |
|
390 |
374 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
192 |
188 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
221 |
213 |
$4K |
| 73030 |
|
395 |
370 |
$4K |
| 73130 |
|
389 |
355 |
$4K |
| 76536 |
|
94 |
92 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
149 |
148 |
$3K |
| 73562 |
|
217 |
195 |
$2K |
| 74018 |
|
421 |
380 |
$2K |
| 72110 |
|
71 |
65 |
$1K |
| 73560 |
|
129 |
114 |
$989.90 |
| 76770 |
|
41 |
40 |
$980.57 |
| 76830 |
Ultrasound, transvaginal |
26 |
25 |
$893.11 |
| 73110 |
|
87 |
81 |
$777.05 |
| 72040 |
|
63 |
57 |
$670.16 |
| 76642 |
|
32 |
31 |
$603.49 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
29 |
29 |
$484.71 |
| 73502 |
|
111 |
110 |
$470.66 |
| 70486 |
|
13 |
12 |
$433.13 |
| 93971 |
|
42 |
42 |
$318.54 |
| 72131 |
|
13 |
12 |
$301.50 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$239.04 |
| 73590 |
|
15 |
15 |
$124.53 |
| 73080 |
|
12 |
12 |
$101.86 |