| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,470 |
4,172 |
$395K |
| 76830 |
Ultrasound, transvaginal |
1,571 |
1,490 |
$129K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,233 |
3,906 |
$113K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,308 |
1,242 |
$92K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
548 |
501 |
$83K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
168 |
146 |
$75K |
| 76642 |
|
995 |
877 |
$59K |
| 77066 |
Tomosynthesis, mammo |
385 |
335 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
2,435 |
2,244 |
$37K |
| 76536 |
|
436 |
410 |
$31K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
433 |
401 |
$31K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
124 |
120 |
$28K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
281 |
260 |
$27K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
141 |
125 |
$24K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
283 |
252 |
$21K |
| 72141 |
|
122 |
109 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
98 |
93 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
5,063 |
4,031 |
$18K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
110 |
98 |
$18K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
59 |
51 |
$17K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
253 |
232 |
$16K |
| 77065 |
Tomosynthesis, mammo |
224 |
191 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
668 |
561 |
$13K |
| 77062 |
|
323 |
283 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
125 |
113 |
$9K |
| 77080 |
|
218 |
210 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
103 |
87 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
402 |
380 |
$6K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
261 |
238 |
$5K |
| 76801 |
|
63 |
52 |
$5K |
| 71250 |
|
134 |
120 |
$4K |
| 71271 |
|
36 |
29 |
$3K |
| 72110 |
|
78 |
69 |
$2K |
| 73562 |
|
63 |
50 |
$1K |
| 77061 |
|
32 |
30 |
$916.53 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
15 |
$657.65 |
| 73630 |
|
21 |
12 |
$262.53 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
16 |
16 |
$158.16 |