| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,213 |
2,804 |
$107K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
4,404 |
3,504 |
$99K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,318 |
4,319 |
$98K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,548 |
4,769 |
$94K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
3,090 |
1,834 |
$66K |
| 71045 |
Radiologic examination, chest; single view |
16,317 |
11,314 |
$64K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
931 |
805 |
$40K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,367 |
1,167 |
$38K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,211 |
1,158 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
5,671 |
4,954 |
$30K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,064 |
961 |
$20K |
| 71250 |
|
846 |
750 |
$15K |
| 76830 |
Ultrasound, transvaginal |
711 |
645 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
386 |
317 |
$15K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
657 |
565 |
$14K |
| 73560 |
|
1,821 |
1,328 |
$7K |
| 74018 |
|
1,257 |
973 |
$5K |
| 73030 |
|
946 |
753 |
$4K |
| 73630 |
|
826 |
711 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
215 |
196 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
146 |
138 |
$4K |
| 73610 |
|
664 |
559 |
$3K |
| 76642 |
|
152 |
120 |
$3K |
| 73130 |
|
481 |
423 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
202 |
172 |
$2K |
| 76770 |
|
153 |
147 |
$2K |
| 72110 |
|
222 |
212 |
$2K |
| 93971 |
|
160 |
150 |
$1K |
| 72131 |
|
83 |
77 |
$1K |
| 73502 |
|
235 |
217 |
$1K |
| 93970 |
|
78 |
78 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
46 |
43 |
$1K |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
5,477 |
4,194 |
$854.61 |
| 77065 |
Tomosynthesis, mammo |
17 |
13 |
$239.33 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
2,469 |
2,142 |
$233.96 |
| 70486 |
|
12 |
12 |
$228.82 |
| 74019 |
|
39 |
26 |
$211.06 |
| 74022 |
|
27 |
25 |
$168.00 |
| 73110 |
|
34 |
28 |
$163.20 |
| 73590 |
|
29 |
27 |
$155.01 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
1,193 |
1,078 |
$122.43 |
| 93922 |
|
24 |
24 |
$94.05 |
| 73552 |
|
15 |
14 |
$78.52 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
61 |
60 |
$0.00 |