| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
8,036 |
8,031 |
$775K |
| 76641 |
|
7,999 |
5,927 |
$607K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,377 |
1,377 |
$364K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
7,633 |
7,627 |
$311K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,815 |
2,814 |
$249K |
| 76830 |
Ultrasound, transvaginal |
1,802 |
1,799 |
$137K |
| 76536 |
|
1,312 |
1,312 |
$92K |
| 71046 |
Radiologic examination, chest; 2 views |
4,155 |
4,146 |
$92K |
| 72141 |
|
269 |
269 |
$69K |
| 76801 |
|
499 |
496 |
$60K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
753 |
753 |
$54K |
| 77065 |
Tomosynthesis, mammo |
555 |
540 |
$51K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
635 |
635 |
$42K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
220 |
220 |
$41K |
| 72110 |
|
1,190 |
1,190 |
$39K |
| 73562 |
|
1,569 |
1,245 |
$38K |
| 71271 |
|
321 |
321 |
$33K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
335 |
329 |
$29K |
| 72100 |
|
1,211 |
1,209 |
$28K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
263 |
257 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
202 |
202 |
$24K |
| 77066 |
Tomosynthesis, mammo |
160 |
160 |
$20K |
| 72131 |
|
123 |
123 |
$19K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
208 |
124 |
$17K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
40 |
38 |
$17K |
| 73030 |
|
827 |
745 |
$17K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
106 |
99 |
$10K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
423 |
316 |
$8K |
| 73630 |
|
367 |
316 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
26 |
$6K |
| 72040 |
|
230 |
227 |
$5K |
| 73130 |
|
243 |
203 |
$5K |
| 73502 |
|
150 |
144 |
$4K |
| 77062 |
|
113 |
113 |
$3K |
| 72050 |
|
77 |
77 |
$2K |
| 76642 |
|
37 |
29 |
$2K |
| 93976 |
|
15 |
15 |
$1K |
| 73610 |
|
50 |
48 |
$1K |
| 77080 |
|
51 |
51 |
$991.82 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
115 |
80 |
$857.38 |
| 77061 |
|
25 |
25 |
$575.37 |
| 72072 |
|
15 |
15 |
$328.96 |
| 73110 |
|
15 |
15 |
$297.78 |
| 99072 |
|
26 |
20 |
$0.01 |
| 7025F |
|
65 |
65 |
$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) |
160 |
158 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
333 |
330 |
$0.00 |
| 3342F |
|
27 |
27 |
$0.00 |