| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,647 |
2,436 |
$414K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
4,201 |
3,762 |
$264K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
609 |
502 |
$128K |
| 76642 |
|
1,258 |
885 |
$99K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,256 |
1,479 |
$82K |
| 77066 |
Tomosynthesis, mammo |
457 |
403 |
$67K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
337 |
261 |
$47K |
| 76830 |
Ultrasound, transvaginal |
238 |
222 |
$31K |
| 77065 |
Tomosynthesis, mammo |
229 |
190 |
$28K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
89 |
83 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
97 |
95 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
89 |
80 |
$11K |
| 73221 |
|
55 |
39 |
$9K |
| 76536 |
|
51 |
51 |
$6K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,277 |
709 |
$6K |
| 73700 |
|
28 |
25 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
44 |
37 |
$4K |
| 77002 |
|
15 |
13 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
25 |
$986.34 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
443 |
378 |
$8.00 |
| A9573 |
Injection, gadopiclenol, 1 ml |
384 |
198 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
12 |
12 |
$0.00 |
| 77062 |
|
13 |
13 |
$0.00 |
| G9638 |
Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
45 |
37 |
$0.00 |