| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,110 |
2,006 |
$79K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,220 |
1,133 |
$73K |
| 71045 |
Radiologic examination, chest; single view |
11,030 |
9,123 |
$66K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,204 |
1,847 |
$56K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,126 |
2,004 |
$51K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,789 |
1,657 |
$41K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,166 |
1,060 |
$30K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
510 |
491 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
3,513 |
3,279 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
420 |
387 |
$24K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
576 |
551 |
$23K |
| 76642 |
|
556 |
451 |
$15K |
| 76830 |
Ultrasound, transvaginal |
471 |
450 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
197 |
150 |
$9K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
68 |
54 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
193 |
180 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
166 |
162 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
132 |
85 |
$3K |
| 74018 |
|
495 |
425 |
$3K |
| 72100 |
|
292 |
284 |
$2K |
| 73630 |
|
342 |
306 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
77 |
67 |
$2K |
| 77065 |
Tomosynthesis, mammo |
73 |
66 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
60 |
55 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
50 |
41 |
$2K |
| 72141 |
|
28 |
26 |
$2K |
| 73221 |
|
30 |
26 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
38 |
37 |
$1K |
| 73030 |
|
145 |
123 |
$1K |
| 73610 |
|
112 |
109 |
$829.29 |
| 76376 |
|
27 |
27 |
$780.56 |
| 73562 |
|
97 |
85 |
$721.17 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$519.84 |
| 76885 |
|
13 |
13 |
$434.45 |
| 71250 |
|
13 |
12 |
$389.28 |
| 72040 |
|
32 |
31 |
$292.31 |
| 73130 |
|
42 |
36 |
$277.26 |
| 77080 |
|
24 |
24 |
$235.30 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
12 |
$229.95 |
| 76770 |
|
13 |
13 |
$200.75 |
| 73110 |
|
12 |
12 |
$85.65 |
| 73120 |
|
12 |
12 |
$61.39 |
| 73564 |
|
14 |
14 |
$42.16 |