| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,272 |
2,269 |
$141K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
911 |
904 |
$121K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
917 |
883 |
$87K |
| 76830 |
Ultrasound, transvaginal |
1,420 |
1,407 |
$79K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,502 |
1,493 |
$71K |
| 73630 |
|
3,759 |
3,153 |
$59K |
| 76801 |
|
1,150 |
1,130 |
$55K |
| 76536 |
|
824 |
816 |
$44K |
| 76642 |
|
1,126 |
1,018 |
$38K |
| 73564 |
|
1,793 |
1,506 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
2,525 |
2,496 |
$35K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
554 |
553 |
$34K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
238 |
237 |
$34K |
| 77066 |
Tomosynthesis, mammo |
480 |
478 |
$33K |
| 73610 |
|
1,819 |
1,656 |
$32K |
| 73110 |
|
1,451 |
1,288 |
$29K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
590 |
582 |
$28K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
733 |
728 |
$28K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
1,122 |
931 |
$27K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
477 |
475 |
$25K |
| 71250 |
|
518 |
515 |
$23K |
| 73030 |
|
1,493 |
1,375 |
$23K |
| 73130 |
|
1,283 |
1,106 |
$22K |
| 72100 |
|
1,193 |
1,188 |
$21K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,526 |
1,513 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
212 |
212 |
$16K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
321 |
321 |
$16K |
| 73140 |
|
815 |
748 |
$15K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
961 |
957 |
$14K |
| 73502 |
|
661 |
651 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
396 |
357 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
165 |
164 |
$13K |
| 72040 |
|
684 |
683 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
115 |
110 |
$12K |
| 74018 |
|
803 |
789 |
$10K |
| 73562 |
|
432 |
402 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
121 |
121 |
$7K |
| 93976 |
|
45 |
45 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
184 |
80 |
$4K |
| 74183 |
|
17 |
17 |
$2K |
| 73221 |
|
25 |
24 |
$2K |
| 70486 |
|
26 |
26 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
25 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
145 |
137 |
$2K |
| 77080 |
|
92 |
92 |
$2K |
| 77065 |
Tomosynthesis, mammo |
28 |
28 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
97 |
42 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
43 |
42 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
186 |
178 |
$1K |
| 74221 |
|
24 |
24 |
$1K |
| 72141 |
|
12 |
12 |
$1K |
| 72110 |
|
42 |
42 |
$927.57 |
| 80053 |
Comprehensive metabolic panel |
89 |
89 |
$791.37 |
| 84443 |
Thyroid stimulating hormone (TSH) |
49 |
49 |
$698.01 |
| 73080 |
|
39 |
36 |
$576.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
86 |
82 |
$551.52 |
| 80305 |
|
57 |
52 |
$521.66 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
16 |
12 |
$490.76 |
| 76882 |
|
24 |
24 |
$461.28 |
| 80061 |
Lipid panel |
33 |
33 |
$426.66 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
15 |
15 |
$420.36 |
| 72070 |
|
25 |
25 |
$313.35 |
| 73522 |
|
12 |
12 |
$295.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$148.41 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
46 |
45 |
$148.08 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,268 |
2,265 |
$0.00 |
| 99072 |
|
84 |
84 |
$0.00 |