| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,691 |
4,686 |
$128K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,688 |
4,681 |
$68K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,448 |
3,380 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
9,786 |
9,671 |
$48K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
938 |
933 |
$37K |
| 76830 |
Ultrasound, transvaginal |
394 |
393 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
217 |
214 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
226 |
224 |
$5K |
| 76642 |
|
196 |
195 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,388 |
1,174 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
186 |
185 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
101 |
101 |
$2K |
| 77065 |
Tomosynthesis, mammo |
70 |
70 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
28 |
28 |
$679.37 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$630.08 |
| 73630 |
|
123 |
122 |
$499.64 |
| 77061 |
|
12 |
12 |
$399.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
24 |
24 |
$340.84 |
| 77080 |
|
89 |
89 |
$267.46 |
| 93971 |
|
26 |
25 |
$232.04 |
| 74018 |
|
31 |
28 |
$124.38 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
19 |
12 |
$123.73 |
| 73130 |
|
12 |
12 |
$66.65 |