| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
15,320 |
15,249 |
$2.03M |
| 76641 |
|
10,014 |
8,428 |
$1.10M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,741 |
9,262 |
$1.04M |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14,888 |
14,817 |
$776K |
| 77066 |
Tomosynthesis, mammo |
3,194 |
3,087 |
$454K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,823 |
4,607 |
$436K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,809 |
1,728 |
$434K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
7,546 |
7,287 |
$341K |
| 76830 |
Ultrasound, transvaginal |
3,806 |
3,720 |
$327K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,866 |
1,711 |
$301K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,199 |
7,790 |
$298K |
| 74183 |
|
1,062 |
975 |
$295K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,650 |
1,528 |
$213K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,818 |
2,746 |
$212K |
| 71045 |
Radiologic examination, chest; single view |
26,236 |
23,821 |
$196K |
| 76536 |
|
2,743 |
2,596 |
$190K |
| 77049 |
|
564 |
549 |
$187K |
| 71046 |
Radiologic examination, chest; 2 views |
11,734 |
11,131 |
$154K |
| 77065 |
Tomosynthesis, mammo |
1,022 |
968 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,417 |
1,285 |
$84K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,067 |
1,012 |
$77K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,410 |
1,355 |
$67K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
3,236 |
2,264 |
$60K |
| S9999 |
Sales tax |
7,850 |
6,310 |
$55K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
41 |
37 |
$55K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
626 |
568 |
$55K |
| 72100 |
|
2,574 |
2,487 |
$54K |
| 77080 |
|
1,847 |
1,809 |
$53K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
413 |
396 |
$52K |
| 73562 |
|
2,634 |
2,117 |
$40K |
| A9581 |
Injection, gadoxetate disodium, 1 ml |
412 |
319 |
$37K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
744 |
727 |
$34K |
| 73221 |
|
225 |
201 |
$33K |
| 77089 |
|
1,232 |
1,170 |
$30K |
| 76770 |
|
375 |
353 |
$28K |
| 73630 |
|
2,080 |
1,795 |
$25K |
| 72197 |
|
65 |
64 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
587 |
544 |
$23K |
| 73130 |
|
1,775 |
1,443 |
$23K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,366 |
2,124 |
$21K |
| 73030 |
|
1,229 |
1,064 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
176 |
173 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
164 |
153 |
$13K |
| 72141 |
|
97 |
87 |
$11K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
175 |
170 |
$11K |
| 93975 |
|
66 |
57 |
$9K |
| 73610 |
|
737 |
688 |
$9K |
| 93971 |
|
221 |
208 |
$8K |
| 93702 |
|
115 |
108 |
$7K |
| 76801 |
|
97 |
92 |
$7K |
| 71271 |
|
53 |
53 |
$7K |
| 71250 |
|
96 |
91 |
$7K |
| 73110 |
|
306 |
277 |
$4K |
| 74018 |
|
384 |
364 |
$4K |
| 73700 |
|
42 |
40 |
$4K |
| 70486 |
|
69 |
66 |
$4K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
16 |
14 |
$3K |
| 93976 |
|
25 |
24 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
29 |
27 |
$2K |
| 99070 |
|
1,045 |
295 |
$1K |
| 76981 |
|
12 |
12 |
$1K |
| 73502 |
|
52 |
48 |
$1K |
| 70491 |
|
16 |
13 |
$1K |
| 76642 |
|
12 |
12 |
$1K |
| 76882 |
|
25 |
25 |
$961.85 |
| 99152 |
|
29 |
27 |
$917.22 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$806.48 |
| 72040 |
|
43 |
42 |
$572.65 |
| A4550 |
Surgical trays |
292 |
252 |
$475.20 |
| 74019 |
|
44 |
42 |
$462.94 |
| 76937 |
|
19 |
15 |
$353.12 |
| 72070 |
|
12 |
12 |
$325.26 |
| 73140 |
|
27 |
25 |
$277.18 |
| 93923 |
|
18 |
14 |
$166.90 |
| 73080 |
|
12 |
12 |
$135.72 |
| 73590 |
|
13 |
12 |
$90.90 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
712 |
626 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
62 |
59 |
$0.00 |
| G9638 |
Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
13 |
12 |
$0.00 |