| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,372 |
3,123 |
$246K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,143 |
1,003 |
$67K |
| 76830 |
Ultrasound, transvaginal |
1,022 |
944 |
$58K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,140 |
1,049 |
$56K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,084 |
2,844 |
$49K |
| 71046 |
Radiologic examination, chest; 2 views |
1,393 |
1,286 |
$21K |
| 76642 |
|
389 |
331 |
$15K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
234 |
206 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
126 |
110 |
$5K |
| 93976 |
|
65 |
58 |
$4K |
| 77066 |
Tomosynthesis, mammo |
41 |
38 |
$3K |
| 76801 |
|
45 |
39 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
124 |
112 |
$2K |
| 76536 |
|
40 |
37 |
$2K |
| 73630 |
|
111 |
93 |
$2K |
| 73130 |
|
88 |
61 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
28 |
$1K |
| 74018 |
|
108 |
96 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
19 |
15 |
$1K |
| 73030 |
|
95 |
79 |
$1K |
| 72100 |
|
88 |
75 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
20 |
12 |
$947.80 |
| 77080 |
|
29 |
28 |
$601.85 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$577.00 |
| 73610 |
|
36 |
29 |
$517.06 |
| 73562 |
|
22 |
12 |
$410.74 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
14 |
12 |
$319.80 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
25 |
25 |
$263.26 |