| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,079 |
5,078 |
$754K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
611 |
466 |
$403K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,779 |
4,778 |
$281K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,645 |
2,033 |
$212K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,118 |
1,503 |
$199K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,145 |
929 |
$115K |
| 76642 |
|
984 |
938 |
$91K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
557 |
557 |
$91K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
562 |
394 |
$84K |
| 72141 |
|
891 |
703 |
$72K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
259 |
255 |
$67K |
| 71045 |
Radiologic examination, chest; single view |
6,164 |
6,031 |
$66K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
1,358 |
1,050 |
$54K |
| 72100 |
|
2,322 |
2,318 |
$52K |
| 71250 |
|
900 |
798 |
$52K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
922 |
921 |
$51K |
| 73221 |
|
566 |
430 |
$50K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
829 |
710 |
$46K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
635 |
522 |
$42K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
367 |
366 |
$37K |
| 73560 |
|
2,014 |
1,798 |
$27K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
412 |
410 |
$26K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
608 |
608 |
$23K |
| 76536 |
|
427 |
427 |
$23K |
| 77065 |
Tomosynthesis, mammo |
199 |
190 |
$23K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
218 |
151 |
$20K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
292 |
292 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
1,154 |
1,142 |
$19K |
| 72040 |
|
954 |
953 |
$18K |
| 76830 |
Ultrasound, transvaginal |
247 |
247 |
$16K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,650 |
2,270 |
$15K |
| 73020 |
|
1,010 |
953 |
$12K |
| 77066 |
Tomosynthesis, mammo |
79 |
79 |
$11K |
| 73120 |
|
790 |
711 |
$10K |
| 73620 |
|
871 |
848 |
$10K |
| 72110 |
|
283 |
279 |
$10K |
| 76641 |
|
47 |
43 |
$8K |
| 74018 |
|
337 |
329 |
$6K |
| 73600 |
|
392 |
387 |
$5K |
| 93976 |
|
92 |
92 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
130 |
113 |
$4K |
| 73630 |
|
184 |
178 |
$4K |
| 73100 |
|
320 |
297 |
$4K |
| 76770 |
|
115 |
115 |
$4K |
| 72070 |
|
130 |
129 |
$3K |
| 77080 |
|
51 |
50 |
$2K |
| 70491 |
|
20 |
12 |
$2K |
| 76813 |
|
16 |
12 |
$2K |
| 73030 |
|
74 |
71 |
$2K |
| 73502 |
|
106 |
105 |
$1K |
| 93880 |
|
25 |
25 |
$1K |
| 93925 |
|
38 |
38 |
$1K |
| 71271 |
|
16 |
12 |
$1K |
| 73610 |
|
52 |
50 |
$903.42 |
| 72131 |
|
27 |
27 |
$824.19 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
62 |
62 |
$768.67 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$557.79 |
| 72146 |
|
12 |
12 |
$458.29 |
| 73070 |
|
26 |
26 |
$393.09 |
| 73110 |
|
13 |
13 |
$293.25 |
| 51798 |
|
31 |
31 |
$118.25 |
| 73522 |
|
13 |
13 |
$114.25 |