| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24,423 |
12,336 |
$486K |
| 76641 |
|
12,388 |
5,020 |
$244K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
22,302 |
10,869 |
$199K |
| 76830 |
Ultrasound, transvaginal |
5,606 |
2,835 |
$167K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
4,188 |
2,023 |
$161K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,563 |
1,600 |
$154K |
| 76536 |
|
6,782 |
3,358 |
$133K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
5,489 |
2,789 |
$120K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
7,667 |
3,712 |
$94K |
| 71046 |
Radiologic examination, chest; 2 views |
19,435 |
10,311 |
$90K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
2,300 |
979 |
$88K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
5,007 |
2,449 |
$78K |
| 77066 |
Tomosynthesis, mammo |
2,397 |
1,104 |
$63K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,051 |
442 |
$61K |
| 72141 |
|
1,595 |
681 |
$59K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,467 |
794 |
$58K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,127 |
858 |
$57K |
| 71250 |
|
2,041 |
1,075 |
$48K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,657 |
827 |
$45K |
| 74178 |
|
780 |
366 |
$36K |
| 73221 |
|
1,036 |
359 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
689 |
312 |
$30K |
| 76770 |
|
1,446 |
736 |
$29K |
| 77080 |
|
4,436 |
2,173 |
$28K |
| 72100 |
|
3,558 |
1,809 |
$23K |
| 76775 |
|
1,948 |
879 |
$19K |
| 93970 |
|
377 |
184 |
$15K |
| 77062 |
|
1,076 |
444 |
$14K |
| 73562 |
|
2,285 |
831 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
696 |
314 |
$11K |
| 77072 |
|
2,842 |
1,226 |
$11K |
| 73030 |
|
1,941 |
786 |
$9K |
| 72040 |
|
1,028 |
628 |
$9K |
| 72110 |
|
726 |
469 |
$8K |
| 73630 |
|
1,516 |
583 |
$7K |
| 76801 |
|
128 |
125 |
$7K |
| 72082 |
|
312 |
206 |
$6K |
| 77065 |
Tomosynthesis, mammo |
119 |
118 |
$6K |
| 73560 |
|
721 |
358 |
$5K |
| 93925 |
|
121 |
64 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
197 |
89 |
$5K |
| 76642 |
|
124 |
110 |
$4K |
| 73130 |
|
421 |
201 |
$3K |
| 73502 |
|
316 |
181 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,718 |
1,889 |
$3K |
| 71271 |
|
60 |
56 |
$3K |
| 74018 |
|
235 |
226 |
$3K |
| 72070 |
|
424 |
217 |
$2K |
| 72050 |
|
159 |
89 |
$2K |
| 70486 |
|
69 |
38 |
$2K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
66 |
25 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
1,924 |
527 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
41 |
41 |
$2K |
| 73610 |
|
207 |
107 |
$1K |
| 93976 |
|
12 |
12 |
$923.78 |
| 76870 |
|
151 |
56 |
$915.93 |
| 93971 |
|
13 |
12 |
$636.20 |
| 74019 |
|
43 |
42 |
$628.09 |
| 76882 |
|
48 |
38 |
$610.82 |
| 73620 |
|
41 |
29 |
$578.73 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
576 |
237 |
$490.64 |
| 93000 |
|
293 |
94 |
$490.06 |
| 73600 |
|
27 |
26 |
$298.62 |
| 73120 |
|
25 |
15 |
$259.13 |
| 73110 |
|
14 |
12 |
$257.23 |
| 73521 |
|
12 |
12 |
$136.70 |
| 70360 |
|
12 |
12 |
$120.29 |
| A9573 |
Injection, gadopiclenol, 1 ml |
14 |
14 |
$0.00 |