| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,742 |
6,733 |
$188K |
| 76641 |
|
2,605 |
2,560 |
$94K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,888 |
3,881 |
$89K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,459 |
1,451 |
$80K |
| 74178 |
|
1,174 |
1,173 |
$69K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
896 |
891 |
$52K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,611 |
2,595 |
$51K |
| 71250 |
|
1,170 |
1,166 |
$47K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
753 |
672 |
$43K |
| 76536 |
|
2,149 |
2,145 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
5,183 |
5,169 |
$39K |
| 76830 |
Ultrasound, transvaginal |
1,810 |
1,806 |
$38K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,253 |
2,249 |
$36K |
| 76770 |
|
1,221 |
1,214 |
$29K |
| 93970 |
|
433 |
433 |
$27K |
| 77066 |
Tomosynthesis, mammo |
722 |
719 |
$27K |
| 72100 |
|
2,199 |
2,191 |
$20K |
| 73562 |
|
1,842 |
1,824 |
$17K |
| 77080 |
|
1,764 |
1,762 |
$16K |
| 72141 |
|
273 |
270 |
$13K |
| 73221 |
|
168 |
152 |
$9K |
| 73030 |
|
1,075 |
1,068 |
$9K |
| 73630 |
|
805 |
802 |
$8K |
| 72040 |
|
884 |
881 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
179 |
177 |
$7K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
328 |
327 |
$5K |
| 73130 |
|
326 |
322 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
73 |
72 |
$2K |
| 73521 |
|
80 |
77 |
$1K |
| 72072 |
|
106 |
105 |
$1K |
| 72070 |
|
109 |
109 |
$956.85 |
| 71271 |
|
12 |
12 |
$671.72 |
| 73610 |
|
83 |
83 |
$636.27 |
| 72110 |
|
49 |
49 |
$411.39 |
| 72114 |
|
14 |
14 |
$401.60 |
| 73110 |
|
50 |
50 |
$340.14 |
| 93880 |
|
13 |
13 |
$267.27 |
| 70360 |
|
27 |
27 |
$259.65 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$239.96 |
| 73620 |
|
20 |
20 |
$165.78 |
| 73560 |
|
43 |
42 |
$128.58 |
| 72131 |
|
14 |
14 |
$92.60 |
| 72050 |
|
13 |
13 |
$0.00 |