| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,838 |
5,822 |
$657K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,746 |
4,731 |
$222K |
| 76641 |
|
1,056 |
840 |
$98K |
| 76830 |
Ultrasound, transvaginal |
1,004 |
990 |
$85K |
| 93975 |
|
341 |
334 |
$64K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
278 |
277 |
$53K |
| 71046 |
Radiologic examination, chest; 2 views |
2,706 |
2,657 |
$49K |
| 76825 |
|
372 |
360 |
$48K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
502 |
485 |
$47K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
430 |
429 |
$44K |
| 93976 |
|
376 |
369 |
$37K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
83 |
79 |
$35K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
371 |
369 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
557 |
523 |
$18K |
| 93325 |
|
337 |
327 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,370 |
1,045 |
$10K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$5K |
| 76642 |
|
73 |
73 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$3K |
| 76536 |
|
26 |
26 |
$2K |
| 72100 |
|
78 |
77 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
60 |
58 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$2K |
| 77065 |
Tomosynthesis, mammo |
30 |
28 |
$2K |
| 76801 |
|
14 |
14 |
$2K |
| 76813 |
|
13 |
13 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
12 |
12 |
$1K |
| 73564 |
|
40 |
37 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
13 |
$1K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
15 |
$1K |
| 73630 |
|
64 |
52 |
$1K |
| 72082 |
|
12 |
12 |
$708.80 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$533.60 |
| 77061 |
|
14 |
13 |
$513.17 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$314.64 |
| 77062 |
|
12 |
12 |
$297.54 |
| 73610 |
|
15 |
14 |
$225.98 |
| 74018 |
|
15 |
14 |
$213.32 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124 |
111 |
$0.00 |
| 99080 |
|
190 |
91 |
$0.00 |