| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12,501 |
11,896 |
$747K |
| 70450 |
Computed tomography, head or brain; without contrast material |
11,973 |
11,071 |
$300K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
7,227 |
6,984 |
$176K |
| 71046 |
Radiologic examination, chest; 2 views |
23,553 |
22,210 |
$171K |
| 71045 |
Radiologic examination, chest; single view |
19,125 |
15,306 |
$95K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,178 |
3,045 |
$95K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
769 |
730 |
$41K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
638 |
617 |
$36K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
651 |
619 |
$22K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
411 |
392 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
474 |
452 |
$10K |
| 72100 |
|
902 |
879 |
$8K |
| 93971 |
|
509 |
482 |
$7K |
| 73630 |
|
1,099 |
1,005 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
188 |
165 |
$6K |
| 73030 |
|
877 |
769 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
86 |
85 |
$4K |
| 76775 |
|
118 |
107 |
$2K |
| 73130 |
|
371 |
330 |
$2K |
| 76642 |
|
79 |
76 |
$2K |
| 73560 |
|
379 |
330 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
26 |
25 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,471 |
4,370 |
$2K |
| 74018 |
|
278 |
238 |
$2K |
| 76536 |
|
75 |
74 |
$2K |
| 76830 |
Ultrasound, transvaginal |
53 |
53 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
24 |
24 |
$1K |
| 73610 |
|
131 |
129 |
$921.14 |
| 70486 |
|
25 |
25 |
$814.18 |
| 73502 |
|
102 |
96 |
$641.26 |
| 73562 |
|
89 |
80 |
$588.52 |
| 73110 |
|
89 |
84 |
$582.46 |
| 71250 |
|
12 |
12 |
$374.30 |
| 76770 |
|
12 |
12 |
$250.97 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$232.90 |
| 76882 |
|
15 |
12 |
$217.49 |
| 77080 |
|
41 |
40 |
$159.29 |
| 73140 |
|
25 |
25 |
$147.45 |
| 72040 |
|
13 |
13 |
$100.99 |
| 73070 |
|
13 |
12 |
$76.50 |