| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,914 |
4,909 |
$147K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,251 |
2,220 |
$111K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,696 |
4,690 |
$93K |
| 93975 |
|
1,783 |
1,727 |
$92K |
| 71046 |
Radiologic examination, chest; 2 views |
10,818 |
10,655 |
$81K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,837 |
3,685 |
$76K |
| 71045 |
Radiologic examination, chest; single view |
8,245 |
6,608 |
$50K |
| 76641 |
|
1,630 |
1,308 |
$44K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,558 |
2,535 |
$39K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
779 |
768 |
$35K |
| 76830 |
Ultrasound, transvaginal |
1,966 |
1,945 |
$33K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
380 |
380 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
367 |
366 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
900 |
892 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
556 |
554 |
$10K |
| 73630 |
|
1,984 |
1,826 |
$9K |
| 71250 |
|
217 |
216 |
$5K |
| 73610 |
|
1,122 |
1,061 |
$5K |
| 72100 |
|
817 |
816 |
$4K |
| 73130 |
|
948 |
878 |
$4K |
| 76536 |
|
277 |
276 |
$3K |
| 73030 |
|
647 |
607 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
121 |
120 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
66 |
66 |
$2K |
| 76775 |
|
307 |
304 |
$2K |
| 73560 |
|
455 |
386 |
$2K |
| 73562 |
|
374 |
347 |
$2K |
| 73110 |
|
303 |
282 |
$1K |
| 74019 |
|
146 |
132 |
$1K |
| 74178 |
|
41 |
41 |
$1K |
| 76000 |
|
255 |
250 |
$970.92 |
| 76642 |
|
26 |
25 |
$711.42 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
26 |
$646.67 |
| 93970 |
|
25 |
25 |
$597.41 |
| 73502 |
|
73 |
71 |
$561.21 |
| 74018 |
|
86 |
78 |
$470.48 |
| 72050 |
|
65 |
64 |
$451.80 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$373.40 |
| 72131 |
|
12 |
12 |
$276.09 |
| 73070 |
|
52 |
51 |
$202.81 |
| 93971 |
|
12 |
12 |
$136.71 |
| 77080 |
|
28 |
28 |
$132.18 |
| 73590 |
|
27 |
25 |
$111.44 |
| 73140 |
|
28 |
27 |
$87.61 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172 |
163 |
$0.00 |