| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,807 |
4,734 |
$183K |
| 71045 |
Radiologic examination, chest; single view |
26,973 |
23,400 |
$164K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,590 |
1,545 |
$77K |
| 71046 |
Radiologic examination, chest; 2 views |
7,661 |
7,531 |
$60K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
619 |
557 |
$35K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
965 |
948 |
$29K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
845 |
808 |
$28K |
| 76642 |
|
856 |
780 |
$25K |
| 71250 |
|
1,636 |
1,612 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,610 |
1,540 |
$23K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
574 |
553 |
$21K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,023 |
1,005 |
$21K |
| 76801 |
|
351 |
316 |
$12K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
260 |
255 |
$11K |
| 73562 |
|
2,375 |
1,960 |
$11K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
42 |
42 |
$9K |
| 73630 |
|
1,662 |
1,376 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
368 |
367 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
227 |
207 |
$6K |
| 73221 |
|
126 |
122 |
$6K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
206 |
204 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
250 |
250 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
116 |
116 |
$4K |
| 77065 |
Tomosynthesis, mammo |
135 |
132 |
$4K |
| 76830 |
Ultrasound, transvaginal |
165 |
165 |
$4K |
| 73030 |
|
816 |
740 |
$4K |
| 76770 |
|
332 |
327 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
58 |
50 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
32 |
31 |
$1K |
| 73130 |
|
208 |
170 |
$1K |
| 77066 |
Tomosynthesis, mammo |
28 |
28 |
$1K |
| 74018 |
|
303 |
271 |
$1K |
| 73502 |
|
360 |
343 |
$996.63 |
| 73610 |
|
214 |
202 |
$859.17 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
29 |
28 |
$669.05 |
| 93971 |
|
197 |
192 |
$638.16 |
| 72100 |
|
122 |
122 |
$566.75 |
| 73564 |
|
46 |
37 |
$217.80 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
12 |
12 |
$211.08 |
| 93970 |
|
25 |
25 |
$187.63 |
| 77080 |
|
14 |
14 |
$150.64 |
| 73560 |
|
28 |
24 |
$71.99 |
| 76536 |
|
12 |
12 |
$67.36 |
| 73110 |
|
13 |
12 |
$65.16 |