| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,497 |
2,360 |
$108K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,661 |
1,555 |
$101K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
628 |
588 |
$59K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,403 |
1,169 |
$38K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
906 |
832 |
$32K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
987 |
758 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
5,935 |
4,924 |
$23K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
628 |
611 |
$22K |
| 71250 |
|
939 |
864 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
2,829 |
2,689 |
$16K |
| 71271 |
|
372 |
350 |
$11K |
| 73630 |
|
1,050 |
977 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
53 |
51 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
294 |
293 |
$5K |
| 73610 |
|
360 |
334 |
$5K |
| 73564 |
|
303 |
270 |
$4K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
119 |
114 |
$3K |
| 73130 |
|
326 |
278 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
101 |
89 |
$3K |
| 77065 |
Tomosynthesis, mammo |
104 |
86 |
$3K |
| 76642 |
|
113 |
107 |
$2K |
| 74018 |
|
387 |
343 |
$2K |
| 72100 |
|
152 |
148 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
26 |
26 |
$981.00 |
| 73030 |
|
82 |
69 |
$847.23 |
| 73110 |
|
86 |
82 |
$826.27 |
| 76536 |
|
24 |
24 |
$752.14 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
30 |
24 |
$599.26 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
16 |
$471.68 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$412.72 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$402.13 |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$331.32 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$330.25 |
| 73020 |
|
30 |
28 |
$278.10 |
| 72050 |
|
13 |
12 |
$215.90 |
| 73502 |
|
29 |
27 |
$149.13 |
| 73090 |
|
15 |
15 |
$122.11 |