| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,486 |
4,411 |
$392K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,264 |
1,240 |
$94K |
| 76830 |
Ultrasound, transvaginal |
1,013 |
971 |
$92K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,141 |
1,094 |
$89K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,733 |
2,656 |
$88K |
| 76642 |
|
1,301 |
1,101 |
$85K |
| 71046 |
Radiologic examination, chest; 2 views |
2,298 |
2,262 |
$50K |
| 77066 |
Tomosynthesis, mammo |
447 |
439 |
$50K |
| 77080 |
|
1,670 |
1,617 |
$35K |
| 72110 |
|
883 |
866 |
$26K |
| 77065 |
Tomosynthesis, mammo |
233 |
229 |
$21K |
| 77062 |
|
138 |
136 |
$20K |
| 73630 |
|
818 |
595 |
$15K |
| 73562 |
|
712 |
511 |
$14K |
| 76536 |
|
121 |
118 |
$10K |
| 71250 |
|
84 |
80 |
$5K |
| 73030 |
|
269 |
233 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
51 |
50 |
$5K |
| 77061 |
|
25 |
25 |
$3K |
| 72081 |
|
82 |
82 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
26 |
$3K |
| 76775 |
|
73 |
72 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
61 |
60 |
$1K |
| 72050 |
|
41 |
41 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
206 |
184 |
$885.41 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$884.20 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$571.09 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
72 |
52 |
$484.40 |
| 73502 |
|
15 |
14 |
$404.34 |
| 72070 |
|
16 |
12 |
$221.51 |