| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,754 |
5,906 |
$276K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,865 |
8,788 |
$199K |
| 71046 |
Radiologic examination, chest; 2 views |
24,797 |
22,021 |
$157K |
| 71045 |
Radiologic examination, chest; single view |
27,600 |
22,608 |
$119K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
726 |
648 |
$26K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
785 |
704 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
683 |
561 |
$13K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
262 |
228 |
$13K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
222 |
207 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
443 |
338 |
$8K |
| 76642 |
|
412 |
311 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
157 |
143 |
$5K |
| 74018 |
|
1,067 |
729 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
89 |
81 |
$4K |
| 36569 |
|
64 |
55 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
84 |
77 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
59 |
50 |
$2K |
| 77065 |
Tomosynthesis, mammo |
111 |
89 |
$2K |
| 77066 |
Tomosynthesis, mammo |
75 |
65 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
55 |
$1K |
| 72100 |
|
213 |
197 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
139 |
106 |
$1K |
| 71250 |
|
52 |
51 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
42 |
40 |
$969.76 |
| 76937 |
|
159 |
131 |
$840.13 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
43 |
41 |
$829.90 |
| 77001 |
|
135 |
116 |
$767.75 |
| 49083 |
|
16 |
12 |
$702.92 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$667.42 |
| 73630 |
|
131 |
108 |
$636.68 |
| 76770 |
|
31 |
29 |
$531.36 |
| 73030 |
|
93 |
85 |
$454.46 |
| 73564 |
|
61 |
51 |
$407.44 |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$385.05 |
| 93976 |
|
12 |
12 |
$374.47 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
15 |
$363.08 |
| 73610 |
|
58 |
51 |
$324.09 |
| 72082 |
|
28 |
25 |
$300.33 |
| 99152 |
|
18 |
12 |
$114.45 |
| 73562 |
|
13 |
12 |
$102.54 |
| 73502 |
|
20 |
15 |
$100.71 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
82 |
75 |
$53.40 |