| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17,915 |
17,843 |
$382K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,802 |
4,755 |
$235K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
6,571 |
6,506 |
$207K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
2,467 |
2,448 |
$163K |
| 76642 |
|
6,451 |
5,814 |
$127K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
7,400 |
7,393 |
$127K |
| 77066 |
Tomosynthesis, mammo |
3,131 |
3,056 |
$86K |
| 77065 |
Tomosynthesis, mammo |
3,851 |
3,522 |
$85K |
| 19083 |
|
930 |
907 |
$82K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,319 |
1,295 |
$82K |
| 70491 |
|
1,587 |
1,575 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
647 |
623 |
$28K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,081 |
1,071 |
$17K |
| 71250 |
|
490 |
490 |
$15K |
| 72197 |
|
172 |
172 |
$10K |
| 76641 |
|
209 |
188 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
121 |
116 |
$5K |
| 76536 |
|
288 |
283 |
$5K |
| 78816 |
|
65 |
65 |
$4K |
| 76937 |
|
612 |
564 |
$4K |
| 77049 |
|
57 |
57 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
126 |
$4K |
| 71271 |
|
83 |
83 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
448 |
432 |
$3K |
| 74160 |
|
71 |
69 |
$2K |
| 36561 |
|
12 |
12 |
$2K |
| 74183 |
|
36 |
36 |
$2K |
| 76942 |
|
134 |
130 |
$2K |
| 77001 |
|
147 |
145 |
$2K |
| 77012 |
|
26 |
26 |
$919.36 |
| 70450 |
Computed tomography, head or brain; without contrast material |
18 |
16 |
$458.59 |
| 71045 |
Radiologic examination, chest; single view |
46 |
31 |
$235.39 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$215.05 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$196.04 |
| 76098 |
|
13 |
13 |
$126.49 |
| 77062 |
|
666 |
664 |
$100.91 |
| 77080 |
|
12 |
12 |
$67.16 |
| 77061 |
|
319 |
319 |
$31.20 |