| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,805 |
5,737 |
$434K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,487 |
4,487 |
$139K |
| 76830 |
Ultrasound, transvaginal |
1,364 |
1,331 |
$87K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,258 |
1,251 |
$79K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,512 |
1,474 |
$73K |
| 76536 |
|
1,000 |
957 |
$58K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
994 |
986 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
2,617 |
2,551 |
$44K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
277 |
276 |
$43K |
| 71271 |
|
485 |
483 |
$40K |
| 76642 |
|
654 |
615 |
$30K |
| 73562 |
|
834 |
723 |
$18K |
| 72110 |
|
713 |
696 |
$18K |
| 71250 |
|
268 |
268 |
$17K |
| 77065 |
Tomosynthesis, mammo |
247 |
222 |
$15K |
| 73630 |
|
724 |
669 |
$13K |
| 74018 |
|
807 |
779 |
$12K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
84 |
84 |
$11K |
| 76641 |
|
143 |
132 |
$10K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,140 |
2,028 |
$9K |
| 73030 |
|
496 |
460 |
$9K |
| 76775 |
|
262 |
252 |
$7K |
| 73130 |
|
259 |
228 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
38 |
38 |
$3K |
| 93971 |
|
43 |
42 |
$3K |
| 77080 |
|
108 |
108 |
$2K |
| 73610 |
|
115 |
110 |
$2K |
| 77066 |
Tomosynthesis, mammo |
29 |
27 |
$2K |
| 93976 |
|
31 |
25 |
$2K |
| 92250 |
|
146 |
146 |
$2K |
| 73501 |
|
98 |
94 |
$2K |
| 72100 |
|
68 |
64 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$1K |
| 74019 |
|
50 |
50 |
$999.14 |
| 72050 |
|
27 |
24 |
$609.95 |
| 76604 |
|
12 |
12 |
$497.20 |
| 73502 |
|
13 |
13 |
$335.06 |
| 73110 |
|
13 |
12 |
$215.90 |