| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
885 |
868 |
$85K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,634 |
1,551 |
$55K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,048 |
1,041 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
6,752 |
5,455 |
$29K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
991 |
985 |
$25K |
| 76801 |
|
526 |
504 |
$24K |
| 70450 |
Computed tomography, head or brain; without contrast material |
795 |
713 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,262 |
2,124 |
$14K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
361 |
214 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
247 |
242 |
$13K |
| 76642 |
|
304 |
261 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
271 |
244 |
$5K |
| 73630 |
|
476 |
423 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
108 |
105 |
$4K |
| 77066 |
Tomosynthesis, mammo |
95 |
90 |
$3K |
| 72100 |
|
343 |
325 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
41 |
41 |
$2K |
| 76830 |
Ultrasound, transvaginal |
69 |
64 |
$2K |
| 73030 |
|
409 |
351 |
$2K |
| 73560 |
|
408 |
290 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
16 |
13 |
$662.72 |
| 73562 |
|
66 |
54 |
$627.06 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
26 |
26 |
$602.93 |
| 76770 |
|
25 |
25 |
$593.99 |
| 73610 |
|
76 |
74 |
$592.72 |
| 73502 |
|
93 |
82 |
$442.92 |
| 73130 |
|
46 |
43 |
$392.49 |