| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,307 |
3,277 |
$383K |
| 76641 |
|
3,034 |
2,446 |
$281K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
354 |
348 |
$108K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
347 |
307 |
$108K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,512 |
1,494 |
$107K |
| 76830 |
Ultrasound, transvaginal |
1,622 |
1,603 |
$103K |
| 71046 |
Radiologic examination, chest; 2 views |
4,294 |
4,201 |
$98K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,565 |
1,545 |
$94K |
| 77066 |
Tomosynthesis, mammo |
501 |
494 |
$68K |
| 77065 |
Tomosynthesis, mammo |
646 |
629 |
$68K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
51 |
51 |
$63K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
689 |
680 |
$62K |
| 71250 |
|
314 |
303 |
$59K |
| 76770 |
|
744 |
736 |
$48K |
| 76536 |
|
613 |
595 |
$33K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
72 |
67 |
$27K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
478 |
471 |
$25K |
| 74178 |
|
124 |
118 |
$22K |
| 72110 |
|
605 |
588 |
$20K |
| 70220 |
|
485 |
481 |
$16K |
| 74018 |
|
644 |
625 |
$15K |
| 73630 |
|
691 |
477 |
$14K |
| 73221 |
|
39 |
37 |
$13K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
78 |
75 |
$12K |
| 73562 |
|
528 |
376 |
$8K |
| 73030 |
|
407 |
336 |
$8K |
| 77080 |
|
203 |
186 |
$7K |
| 93970 |
|
39 |
39 |
$6K |
| 76801 |
|
64 |
61 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
26 |
$4K |
| 73564 |
|
218 |
152 |
$4K |
| 71020 |
|
147 |
122 |
$4K |
| 72100 |
|
143 |
142 |
$4K |
| 72141 |
|
13 |
13 |
$4K |
| 73610 |
|
135 |
95 |
$3K |
| 76882 |
|
103 |
94 |
$3K |
| 72050 |
|
70 |
68 |
$2K |
| 73130 |
|
86 |
66 |
$2K |
| 73560 |
|
85 |
61 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
14 |
$2K |
| 73502 |
|
93 |
87 |
$2K |
| 72070 |
|
46 |
42 |
$1K |
| 74000 |
|
29 |
29 |
$493.65 |
| 72081 |
|
15 |
15 |
$406.20 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
72 |
$397.91 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
34 |
33 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
47 |
$0.00 |