| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
9,079 |
8,975 |
$997K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,975 |
3,911 |
$320K |
| 76830 |
Ultrasound, transvaginal |
3,237 |
3,158 |
$313K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,538 |
1,493 |
$305K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,917 |
3,841 |
$302K |
| 77066 |
Tomosynthesis, mammo |
2,385 |
2,277 |
$295K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
6,149 |
6,072 |
$278K |
| 76642 |
|
3,888 |
3,598 |
$261K |
| 77065 |
Tomosynthesis, mammo |
2,575 |
2,291 |
$256K |
| 19083 |
|
652 |
635 |
$252K |
| 76536 |
|
3,185 |
3,129 |
$250K |
| 76770 |
|
2,012 |
1,973 |
$138K |
| 71046 |
Radiologic examination, chest; 2 views |
5,966 |
5,714 |
$124K |
| 75574 |
|
433 |
425 |
$102K |
| 71250 |
|
1,260 |
1,215 |
$94K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
849 |
813 |
$68K |
| 77080 |
|
2,053 |
2,038 |
$60K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
891 |
874 |
$58K |
| 72110 |
|
1,571 |
1,515 |
$51K |
| 70486 |
|
488 |
480 |
$46K |
| 73564 |
|
1,493 |
1,099 |
$46K |
| 70450 |
Computed tomography, head or brain; without contrast material |
512 |
493 |
$36K |
| 10005 |
|
387 |
369 |
$33K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
293 |
283 |
$33K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,968 |
3,795 |
$32K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
790 |
759 |
$30K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
302 |
276 |
$25K |
| 19081 |
|
70 |
68 |
$24K |
| 74018 |
|
926 |
907 |
$22K |
| 73030 |
|
1,009 |
857 |
$22K |
| 72050 |
|
611 |
589 |
$21K |
| 73630 |
|
779 |
645 |
$19K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
161 |
150 |
$18K |
| 74178 |
|
75 |
74 |
$18K |
| 72100 |
|
601 |
578 |
$16K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
847 |
818 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
135 |
132 |
$12K |
| 73130 |
|
442 |
327 |
$10K |
| 73610 |
|
373 |
334 |
$10K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
75 |
70 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
39 |
38 |
$9K |
| 76870 |
|
99 |
98 |
$8K |
| 77072 |
|
286 |
283 |
$6K |
| 77062 |
|
712 |
698 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
24 |
$3K |
| 73110 |
|
116 |
102 |
$3K |
| 73502 |
|
120 |
116 |
$3K |
| 73562 |
|
111 |
80 |
$3K |
| 72040 |
|
82 |
82 |
$3K |
| 73560 |
|
70 |
49 |
$2K |
| 70480 |
|
12 |
12 |
$2K |
| 72082 |
|
26 |
26 |
$2K |
| 72070 |
|
65 |
64 |
$2K |
| 76882 |
|
44 |
38 |
$2K |
| 71271 |
|
12 |
12 |
$1K |
| 72141 |
|
16 |
15 |
$1K |
| 70360 |
|
39 |
39 |
$1K |
| 76376 |
|
99 |
98 |
$997.32 |
| 76801 |
|
15 |
14 |
$764.61 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
27 |
$710.88 |
| 73120 |
|
14 |
13 |
$466.09 |
| 77061 |
|
24 |
24 |
$105.00 |