| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
11,316 |
9,311 |
$395K |
| 76830 |
Ultrasound, transvaginal |
4,159 |
3,438 |
$163K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,731 |
2,148 |
$141K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,852 |
2,372 |
$119K |
| 76641 |
|
3,734 |
2,284 |
$112K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,825 |
2,367 |
$99K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,711 |
1,191 |
$99K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
8,761 |
7,308 |
$96K |
| 76536 |
|
2,943 |
2,422 |
$92K |
| 77066 |
Tomosynthesis, mammo |
1,858 |
1,474 |
$86K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,496 |
2,955 |
$75K |
| 71046 |
Radiologic examination, chest; 2 views |
7,666 |
6,570 |
$62K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,176 |
1,824 |
$55K |
| 72141 |
|
1,036 |
806 |
$49K |
| 76770 |
|
1,173 |
972 |
$33K |
| 76642 |
|
1,564 |
1,097 |
$33K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
298 |
261 |
$32K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
462 |
376 |
$30K |
| 72100 |
|
3,097 |
2,588 |
$30K |
| 77062 |
|
943 |
779 |
$27K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
416 |
336 |
$25K |
| 73562 |
|
1,757 |
1,219 |
$19K |
| 73221 |
|
352 |
226 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
636 |
513 |
$15K |
| 71250 |
|
531 |
447 |
$15K |
| 72082 |
|
964 |
742 |
$15K |
| 73030 |
|
1,843 |
1,386 |
$14K |
| 76801 |
|
446 |
315 |
$14K |
| 73630 |
|
1,622 |
1,189 |
$14K |
| 72110 |
|
896 |
808 |
$13K |
| 72040 |
|
1,397 |
1,191 |
$12K |
| 77065 |
Tomosynthesis, mammo |
318 |
260 |
$12K |
| 77080 |
|
1,171 |
968 |
$11K |
| 93970 |
|
192 |
159 |
$11K |
| 73560 |
|
1,273 |
867 |
$11K |
| 74018 |
|
1,088 |
942 |
$10K |
| 73610 |
|
634 |
508 |
$7K |
| 73502 |
|
579 |
447 |
$6K |
| 73130 |
|
644 |
404 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
145 |
134 |
$5K |
| 93971 |
|
148 |
120 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
226 |
192 |
$5K |
| 72070 |
|
555 |
444 |
$5K |
| 74178 |
|
97 |
69 |
$4K |
| 71271 |
|
160 |
114 |
$3K |
| 93925 |
|
32 |
31 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
114 |
85 |
$3K |
| 76882 |
|
234 |
197 |
$3K |
| 72050 |
|
244 |
217 |
$3K |
| 76775 |
|
140 |
105 |
$3K |
| 70360 |
|
275 |
236 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
207 |
169 |
$2K |
| 73110 |
|
137 |
104 |
$1K |
| 77061 |
|
67 |
50 |
$899.99 |
| 77072 |
|
94 |
94 |
$872.26 |
| 93880 |
|
16 |
14 |
$861.76 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,989 |
1,317 |
$794.24 |
| 76870 |
|
33 |
31 |
$757.06 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
17 |
16 |
$730.22 |
| 72072 |
|
74 |
56 |
$664.55 |
| 73620 |
|
60 |
45 |
$548.69 |
| 74019 |
|
41 |
40 |
$517.84 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
13 |
13 |
$385.83 |
| 73521 |
|
56 |
31 |
$359.87 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
1,036 |
549 |
$330.23 |
| 73600 |
|
22 |
13 |
$168.99 |
| 73100 |
|
17 |
13 |
$155.56 |
| 73120 |
|
74 |
28 |
$151.07 |
| 73564 |
|
18 |
12 |
$135.41 |
| 93000 |
|
12 |
12 |
$48.87 |
| A9573 |
Injection, gadopiclenol, 1 ml |
38 |
32 |
$0.00 |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
39 |
27 |
$0.00 |