| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,206 |
1,194 |
$104K |
| 71046 |
Radiologic examination, chest; 2 views |
3,923 |
3,712 |
$90K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,058 |
1,037 |
$84K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,487 |
1,404 |
$82K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
504 |
488 |
$51K |
| 72081 |
|
1,508 |
1,484 |
$49K |
| 76642 |
|
786 |
650 |
$40K |
| 76830 |
Ultrasound, transvaginal |
309 |
301 |
$27K |
| 74018 |
|
1,032 |
1,019 |
$23K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,211 |
1,102 |
$22K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
196 |
183 |
$21K |
| 76536 |
|
227 |
224 |
$19K |
| 72100 |
|
605 |
595 |
$16K |
| 73610 |
|
462 |
425 |
$12K |
| 73560 |
|
501 |
405 |
$11K |
| 73630 |
|
461 |
419 |
$11K |
| 76770 |
|
125 |
124 |
$10K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
129 |
121 |
$7K |
| 72082 |
|
116 |
113 |
$6K |
| 77066 |
Tomosynthesis, mammo |
61 |
58 |
$6K |
| 73562 |
|
190 |
167 |
$5K |
| 74019 |
|
153 |
151 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
39 |
38 |
$4K |
| 73130 |
|
123 |
109 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
99 |
99 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
69 |
69 |
$2K |
| 73140 |
|
67 |
65 |
$2K |
| 73590 |
|
67 |
55 |
$1K |
| 72070 |
|
47 |
46 |
$1K |
| 76801 |
|
13 |
13 |
$1K |
| 73110 |
|
43 |
38 |
$1K |
| 76870 |
|
12 |
12 |
$950.95 |
| 72040 |
|
25 |
25 |
$613.34 |
| 76775 |
|
14 |
14 |
$572.46 |
| 77072 |
|
15 |
15 |
$319.95 |
| 73030 |
|
12 |
12 |
$303.41 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
113 |
78 |
$210.00 |
| 77080 |
|
58 |
36 |
$62.03 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
214 |
146 |
$12.10 |