| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,972 |
6,718 |
$662K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
6,777 |
6,537 |
$248K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,776 |
1,695 |
$167K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
881 |
767 |
$163K |
| 76830 |
Ultrasound, transvaginal |
1,346 |
1,293 |
$145K |
| 71046 |
Radiologic examination, chest; 2 views |
4,644 |
4,213 |
$109K |
| 76642 |
|
1,138 |
984 |
$85K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
615 |
499 |
$65K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
706 |
643 |
$62K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
104 |
93 |
$36K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
785 |
706 |
$35K |
| 77066 |
Tomosynthesis, mammo |
218 |
196 |
$33K |
| 76536 |
|
362 |
339 |
$31K |
| 73562 |
|
1,110 |
709 |
$30K |
| 75574 |
|
91 |
82 |
$29K |
| 73630 |
|
1,245 |
888 |
$28K |
| 77080 |
|
949 |
895 |
$20K |
| 72100 |
|
700 |
627 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
104 |
97 |
$19K |
| 77065 |
Tomosynthesis, mammo |
162 |
143 |
$18K |
| 76770 |
|
225 |
197 |
$18K |
| 72110 |
|
367 |
339 |
$14K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,318 |
550 |
$14K |
| 72141 |
|
232 |
179 |
$12K |
| 93971 |
|
247 |
211 |
$11K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
846 |
467 |
$11K |
| 74183 |
|
29 |
24 |
$8K |
| 73030 |
|
367 |
288 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
90 |
83 |
$7K |
| 76641 |
|
69 |
51 |
$6K |
| 93970 |
|
69 |
67 |
$5K |
| 73130 |
|
184 |
116 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
308 |
264 |
$3K |
| 76881 |
|
42 |
27 |
$3K |
| 93925 |
|
34 |
24 |
$2K |
| 73221 |
|
17 |
12 |
$2K |
| 72082 |
|
30 |
29 |
$2K |
| 93926 |
|
102 |
68 |
$2K |
| 73610 |
|
76 |
60 |
$2K |
| 76775 |
|
39 |
37 |
$2K |
| 71250 |
|
16 |
13 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
177 |
137 |
$1K |
| 73110 |
|
43 |
26 |
$1K |
| 76882 |
|
18 |
15 |
$975.33 |
| 99215 |
Prolong outpt/office vis |
49 |
43 |
$793.90 |
| 73564 |
|
21 |
12 |
$791.44 |
| 76801 |
|
12 |
12 |
$754.60 |
| 72040 |
|
27 |
25 |
$746.38 |
| 72050 |
|
27 |
24 |
$741.14 |
| 72070 |
|
32 |
26 |
$726.22 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
12 |
12 |
$709.78 |
| 74018 |
|
25 |
24 |
$657.78 |
| 73502 |
|
12 |
12 |
$577.26 |
| 70220 |
|
15 |
13 |
$440.27 |
| 70450 |
Computed tomography, head or brain; without contrast material |
21 |
20 |
$405.48 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$333.01 |
| 73620 |
|
12 |
12 |
$294.54 |
| 73560 |
|
16 |
14 |
$263.94 |
| 71045 |
Radiologic examination, chest; single view |
133 |
83 |
$250.92 |
| 77062 |
|
38 |
36 |
$90.00 |
| 76377 |
|
27 |
15 |
$44.55 |