| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,019 |
4,018 |
$171K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
645 |
633 |
$126K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,134 |
1,120 |
$120K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,511 |
2,298 |
$109K |
| 71046 |
Radiologic examination, chest; 2 views |
8,814 |
8,611 |
$107K |
| 71045 |
Radiologic examination, chest; single view |
9,422 |
5,199 |
$86K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,824 |
1,774 |
$82K |
| 76770 |
|
940 |
930 |
$38K |
| 76642 |
|
712 |
673 |
$28K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
266 |
255 |
$24K |
| 71250 |
|
289 |
273 |
$18K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
184 |
184 |
$18K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
221 |
215 |
$17K |
| 74018 |
|
1,703 |
1,127 |
$15K |
| 93970 |
|
304 |
249 |
$11K |
| 74183 |
|
67 |
67 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
241 |
241 |
$8K |
| 72082 |
|
353 |
346 |
$8K |
| 76506 |
|
177 |
141 |
$7K |
| 73610 |
|
605 |
566 |
$6K |
| 73630 |
|
592 |
537 |
$6K |
| 77065 |
Tomosynthesis, mammo |
115 |
109 |
$5K |
| 72197 |
|
38 |
38 |
$5K |
| 93971 |
|
186 |
179 |
$4K |
| 70552 |
|
35 |
35 |
$4K |
| 73030 |
|
370 |
348 |
$4K |
| 73110 |
|
388 |
317 |
$4K |
| 73521 |
|
176 |
173 |
$3K |
| 73130 |
|
338 |
294 |
$3K |
| 73560 |
|
323 |
310 |
$3K |
| 77072 |
|
252 |
252 |
$3K |
| 73562 |
|
262 |
241 |
$3K |
| 73590 |
|
270 |
226 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
54 |
54 |
$2K |
| 70486 |
|
42 |
42 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
49 |
46 |
$2K |
| 76536 |
|
68 |
67 |
$2K |
| 74019 |
|
155 |
132 |
$2K |
| 76830 |
Ultrasound, transvaginal |
42 |
41 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
15 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
55 |
53 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
35 |
32 |
$2K |
| 73090 |
|
143 |
111 |
$1K |
| 73140 |
|
150 |
129 |
$1K |
| 73080 |
|
114 |
103 |
$1K |
| 72110 |
|
63 |
63 |
$1K |
| 93976 |
|
26 |
26 |
$953.33 |
| 76870 |
|
27 |
27 |
$842.53 |
| 77001 |
|
32 |
28 |
$632.37 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$550.15 |
| 73564 |
|
33 |
27 |
$526.84 |
| 72100 |
|
40 |
39 |
$459.94 |
| 73502 |
|
26 |
26 |
$327.68 |
| 72040 |
|
29 |
25 |
$307.51 |
| 76937 |
|
17 |
14 |
$253.93 |
| 73620 |
|
16 |
12 |
$104.62 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,259 |
952 |
$58.22 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
76 |
69 |
$0.00 |
| 6030F |
|
18 |
14 |
$0.00 |