| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,434 |
5,463 |
$171K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
6,340 |
5,394 |
$133K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
4,156 |
3,866 |
$127K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,313 |
2,172 |
$71K |
| 76830 |
Ultrasound, transvaginal |
2,097 |
1,952 |
$69K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,218 |
1,139 |
$64K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
2,094 |
1,983 |
$58K |
| 76642 |
|
2,547 |
2,014 |
$53K |
| 77066 |
Tomosynthesis, mammo |
991 |
814 |
$32K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
808 |
688 |
$31K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,017 |
955 |
$30K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,416 |
1,379 |
$26K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
531 |
497 |
$21K |
| 76770 |
|
657 |
642 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,918 |
3,256 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
550 |
528 |
$13K |
| 77065 |
Tomosynthesis, mammo |
462 |
354 |
$12K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
458 |
359 |
$12K |
| 76536 |
|
217 |
215 |
$7K |
| 76801 |
|
181 |
174 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
920 |
874 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
209 |
201 |
$4K |
| 76641 |
|
143 |
94 |
$4K |
| 93971 |
|
408 |
371 |
$4K |
| 93970 |
|
267 |
248 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
86 |
79 |
$2K |
| 93976 |
|
62 |
62 |
$2K |
| 76857 |
|
29 |
29 |
$889.95 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$707.56 |
| 73560 |
|
70 |
57 |
$592.11 |
| 78451 |
|
18 |
18 |
$375.46 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$335.43 |
| 74018 |
|
61 |
55 |
$282.37 |
| 73630 |
|
30 |
26 |
$281.10 |
| 72100 |
|
13 |
12 |
$186.55 |
| 73502 |
|
14 |
14 |
$63.15 |
| 77062 |
|
105 |
89 |
$6.24 |