| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,970 |
1,855 |
$130K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,304 |
1,258 |
$60K |
| 71045 |
Radiologic examination, chest; single view |
6,957 |
5,860 |
$28K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
253 |
247 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
3,193 |
2,960 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
531 |
504 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
334 |
307 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
271 |
255 |
$11K |
| 73630 |
|
958 |
871 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
321 |
298 |
$6K |
| 73610 |
|
337 |
300 |
$5K |
| 73030 |
|
279 |
247 |
$3K |
| 73130 |
|
290 |
265 |
$3K |
| 76642 |
|
91 |
62 |
$3K |
| 73562 |
|
215 |
196 |
$3K |
| 72100 |
|
167 |
159 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
111 |
107 |
$2K |
| 76830 |
Ultrasound, transvaginal |
55 |
52 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
42 |
42 |
$1K |
| 74018 |
|
244 |
220 |
$1K |
| 72131 |
|
26 |
26 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
38 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
34 |
31 |
$972.75 |
| 77065 |
Tomosynthesis, mammo |
32 |
25 |
$856.48 |
| 73110 |
|
55 |
52 |
$640.69 |
| 72128 |
|
12 |
12 |
$454.93 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$314.46 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
18 |
18 |
$304.15 |
| 73560 |
|
29 |
25 |
$265.02 |
| 73080 |
|
13 |
13 |
$121.70 |
| 73590 |
|
12 |
12 |
$100.96 |
| 73502 |
|
13 |
13 |
$81.72 |