| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,421 |
4,404 |
$408K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
202 |
165 |
$182K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,260 |
4,245 |
$154K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,236 |
1,032 |
$115K |
| 76642 |
|
1,876 |
1,616 |
$105K |
| 77066 |
Tomosynthesis, mammo |
540 |
537 |
$56K |
| 77065 |
Tomosynthesis, mammo |
527 |
490 |
$38K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
163 |
162 |
$29K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
313 |
307 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,410 |
947 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
447 |
328 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
4,171 |
3,672 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
1,974 |
1,939 |
$12K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
51 |
40 |
$8K |
| 77062 |
|
240 |
240 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
171 |
168 |
$7K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
127 |
127 |
$5K |
| 76830 |
Ultrasound, transvaginal |
120 |
120 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
687 |
680 |
$5K |
| 71250 |
|
62 |
62 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
93 |
91 |
$3K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
170 |
164 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
24 |
24 |
$2K |
| 73610 |
|
256 |
247 |
$2K |
| 73630 |
|
196 |
190 |
$1K |
| 77061 |
|
50 |
50 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 99152 |
|
56 |
48 |
$1K |
| 73110 |
|
147 |
136 |
$990.44 |
| 73130 |
|
104 |
98 |
$812.62 |
| 76641 |
|
14 |
12 |
$787.43 |
| 77080 |
|
29 |
29 |
$639.95 |
| 73030 |
|
74 |
50 |
$502.71 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
13 |
$448.56 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$339.86 |
| 74018 |
|
65 |
59 |
$332.62 |
| 72100 |
|
15 |
15 |
$109.00 |
| 73590 |
|
16 |
15 |
$98.70 |
| 73564 |
|
13 |
13 |
$95.72 |
| 73562 |
|
20 |
20 |
$78.30 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
26 |
24 |
$10.14 |
| G9319 |
Imaging study not named according to standardized nomenclature, reason not given |
579 |
184 |
$0.00 |
| 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) |
995 |
320 |
$0.00 |
| G9326 |
Ct studies performed not reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements, reason not given |
505 |
161 |
$0.00 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
39 |
17 |
$0.00 |