| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,131 |
1,066 |
$70K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,090 |
1,046 |
$49K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
157 |
145 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
3,086 |
2,416 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
246 |
232 |
$9K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
323 |
233 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
297 |
207 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,226 |
1,177 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
14 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
29 |
29 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25 |
25 |
$923.06 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
26 |
15 |
$918.48 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
13 |
$431.40 |
| 76642 |
|
20 |
13 |
$405.81 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
13 |
$348.00 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$275.49 |
| 73630 |
|
17 |
12 |
$236.50 |
| 73564 |
|
17 |
16 |
$168.84 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$123.01 |
| 74018 |
|
16 |
12 |
$43.76 |