| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
10,767 |
5,051 |
$237K |
| 0002A |
|
6,755 |
6,149 |
$208K |
| 0001A |
|
6,742 |
6,410 |
$176K |
| 0003A |
|
3,174 |
3,154 |
$125K |
| 99051 |
|
2,599 |
2,034 |
$115K |
| 0064A |
|
1,653 |
1,634 |
$65K |
| 0071A |
|
1,076 |
1,063 |
$41K |
| 0072A |
|
847 |
835 |
$33K |
| 0012A |
|
707 |
689 |
$27K |
| 76641 |
|
764 |
481 |
$22K |
| 77066 |
Tomosynthesis, mammo |
888 |
330 |
$19K |
| 0011A |
|
692 |
668 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
99 |
55 |
$13K |
| 0031A |
|
302 |
300 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
129 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
262 |
180 |
$10K |
| 76830 |
Ultrasound, transvaginal |
212 |
140 |
$9K |
| 77065 |
Tomosynthesis, mammo |
433 |
170 |
$8K |
| 0053A |
|
634 |
619 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
597 |
500 |
$6K |
| 77080 |
|
289 |
106 |
$6K |
| 0013A |
|
151 |
151 |
$6K |
| 72100 |
|
408 |
262 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
676 |
419 |
$4K |
| 0054A |
|
145 |
144 |
$4K |
| 73560 |
|
351 |
205 |
$4K |
| 90688 |
|
220 |
197 |
$4K |
| 74018 |
|
481 |
317 |
$4K |
| 73620 |
|
209 |
128 |
$2K |
| 76536 |
|
70 |
52 |
$2K |
| 0124A |
|
59 |
54 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
16 |
$2K |
| 73600 |
|
96 |
76 |
$1K |
| 70250 |
|
73 |
65 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
218 |
195 |
$972.40 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
531 |
260 |
$861.50 |
| 73030 |
|
60 |
48 |
$783.54 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
12 |
$762.10 |
| 0004A |
|
19 |
19 |
$760.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
24 |
13 |
$730.84 |
| 73120 |
|
97 |
49 |
$690.05 |
| 0134A |
|
12 |
12 |
$320.00 |
| 73630 |
|
25 |
25 |
$304.32 |
| 73100 |
|
24 |
14 |
$290.51 |
| 0052A |
|
36 |
35 |
$280.00 |
| 72040 |
|
14 |
13 |
$264.18 |
| 73070 |
|
17 |
12 |
$206.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,605 |
909 |
$25.36 |