| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16,088 |
14,478 |
$833K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
3,165 |
2,756 |
$414K |
| 76642 |
|
6,447 |
5,143 |
$212K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,301 |
1,064 |
$196K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,613 |
1,388 |
$176K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
205 |
175 |
$122K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
6,802 |
5,859 |
$108K |
| 77066 |
Tomosynthesis, mammo |
1,576 |
1,356 |
$98K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
876 |
808 |
$76K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
745 |
643 |
$71K |
| 74183 |
|
437 |
373 |
$58K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13,181 |
11,694 |
$52K |
| 76536 |
|
844 |
749 |
$44K |
| 71271 |
|
962 |
843 |
$42K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
827 |
693 |
$36K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
6,186 |
4,765 |
$29K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
192 |
159 |
$14K |
| 93976 |
|
184 |
164 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
969 |
865 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
342 |
297 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
230 |
212 |
$11K |
| 72141 |
|
134 |
126 |
$11K |
| 76830 |
Ultrasound, transvaginal |
147 |
141 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
159 |
153 |
$8K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
509 |
502 |
$7K |
| 76882 |
|
329 |
284 |
$7K |
| 73221 |
|
72 |
67 |
$6K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
110 |
71 |
$5K |
| 77002 |
|
121 |
100 |
$4K |
| 76881 |
|
141 |
125 |
$4K |
| 76770 |
|
80 |
73 |
$4K |
| 77065 |
Tomosynthesis, mammo |
94 |
62 |
$3K |
| 73700 |
|
30 |
26 |
$1K |
| 71250 |
|
44 |
37 |
$1K |
| A4550 |
Surgical trays |
139 |
114 |
$1K |
| 72100 |
|
51 |
50 |
$993.31 |
| 93975 |
|
12 |
12 |
$968.05 |
| 77080 |
|
55 |
54 |
$886.71 |
| 77062 |
|
675 |
645 |
$648.88 |
| 72050 |
|
26 |
25 |
$636.69 |
| 76981 |
|
26 |
15 |
$591.30 |
| 73030 |
|
34 |
31 |
$552.03 |
| 73630 |
|
25 |
21 |
$462.12 |
| 74018 |
|
31 |
31 |
$448.20 |
| 73502 |
|
13 |
13 |
$354.99 |
| A4215 |
Needle, sterile, any size, each |
195 |
142 |
$26.19 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$9.62 |