| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,050 |
1,045 |
$32K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,046 |
1,041 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
4,234 |
3,041 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
3,034 |
2,985 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
195 |
193 |
$11K |
| 73630 |
|
1,300 |
1,266 |
$10K |
| 73610 |
|
1,058 |
1,029 |
$8K |
| 73562 |
|
924 |
918 |
$8K |
| 73130 |
|
858 |
830 |
$7K |
| 73030 |
|
785 |
776 |
$7K |
| 73110 |
|
783 |
743 |
$6K |
| 74018 |
|
856 |
805 |
$6K |
| 72110 |
|
398 |
396 |
$5K |
| 71250 |
|
160 |
158 |
$5K |
| 72100 |
|
527 |
524 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
82 |
82 |
$4K |
| 73502 |
|
501 |
496 |
$4K |
| 76642 |
|
114 |
113 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
56 |
54 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
84 |
84 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
79 |
79 |
$2K |
| 72050 |
|
109 |
107 |
$1K |
| 73080 |
|
143 |
139 |
$1K |
| 77066 |
Tomosynthesis, mammo |
25 |
25 |
$884.29 |
| 73564 |
|
73 |
71 |
$781.56 |
| 76536 |
|
30 |
30 |
$683.63 |
| 73590 |
|
83 |
80 |
$671.11 |
| 72170 |
|
65 |
64 |
$434.55 |
| 72072 |
|
41 |
41 |
$424.32 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$337.24 |
| 73521 |
|
24 |
24 |
$185.14 |
| 73140 |
|
13 |
13 |
$60.82 |