| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,755 |
3,736 |
$416K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,715 |
3,658 |
$163K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
674 |
552 |
$94K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
745 |
723 |
$94K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,349 |
1,331 |
$85K |
| 76830 |
Ultrasound, transvaginal |
1,133 |
1,124 |
$72K |
| 71046 |
Radiologic examination, chest; 2 views |
2,515 |
2,398 |
$53K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
709 |
695 |
$51K |
| 76641 |
|
343 |
291 |
$34K |
| 73630 |
|
1,373 |
1,024 |
$28K |
| 73221 |
|
166 |
150 |
$25K |
| 71250 |
|
204 |
192 |
$20K |
| 93975 |
|
112 |
110 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
124 |
124 |
$11K |
| 77066 |
Tomosynthesis, mammo |
79 |
78 |
$11K |
| 77065 |
Tomosynthesis, mammo |
72 |
71 |
$9K |
| 73562 |
|
470 |
339 |
$9K |
| 76642 |
|
102 |
97 |
$8K |
| 76536 |
|
148 |
143 |
$7K |
| 77080 |
|
259 |
259 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
51 |
50 |
$7K |
| 76801 |
|
68 |
65 |
$5K |
| 93976 |
|
33 |
32 |
$5K |
| 77062 |
|
50 |
50 |
$4K |
| 72100 |
|
200 |
190 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
66 |
66 |
$4K |
| 73030 |
|
228 |
167 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
52 |
52 |
$3K |
| 72110 |
|
54 |
53 |
$2K |
| 71271 |
|
14 |
14 |
$2K |
| 73610 |
|
55 |
49 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
69 |
69 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
19 |
14 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
98 |
78 |
$934.55 |
| 73130 |
|
38 |
27 |
$728.84 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
16 |
16 |
$694.36 |
| 72072 |
|
26 |
25 |
$581.39 |
| 72050 |
|
12 |
12 |
$435.60 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
27 |
26 |
$406.90 |
| 72040 |
|
14 |
14 |
$316.29 |
| 73560 |
|
22 |
12 |
$233.56 |