| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,448 |
5,336 |
$519K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
778 |
738 |
$271K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,486 |
5,345 |
$244K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
523 |
497 |
$181K |
| 71046 |
Radiologic examination, chest; 2 views |
6,216 |
5,863 |
$141K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
180 |
171 |
$136K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,327 |
1,244 |
$135K |
| 76830 |
Ultrasound, transvaginal |
1,770 |
1,699 |
$127K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,082 |
1,029 |
$86K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
372 |
351 |
$79K |
| 76642 |
|
1,041 |
841 |
$64K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,767 |
1,652 |
$58K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
822 |
785 |
$49K |
| 73221 |
|
150 |
142 |
$49K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
785 |
767 |
$49K |
| 74018 |
|
2,219 |
2,102 |
$47K |
| 77072 |
|
2,249 |
2,182 |
$40K |
| 72082 |
|
530 |
514 |
$25K |
| 74183 |
|
37 |
36 |
$24K |
| 76770 |
|
280 |
265 |
$23K |
| 74019 |
|
750 |
718 |
$20K |
| 73521 |
|
592 |
568 |
$18K |
| 76536 |
|
229 |
210 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
30 |
29 |
$10K |
| 73630 |
|
416 |
350 |
$10K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
291 |
254 |
$9K |
| 76885 |
|
108 |
95 |
$8K |
| 73610 |
|
278 |
250 |
$6K |
| 77066 |
Tomosynthesis, mammo |
61 |
55 |
$5K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
189 |
176 |
$5K |
| 74178 |
|
14 |
14 |
$4K |
| 72141 |
|
13 |
12 |
$4K |
| 77073 |
|
111 |
108 |
$4K |
| 73110 |
|
148 |
134 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
88 |
80 |
$4K |
| 73562 |
|
133 |
114 |
$3K |
| 77002 |
|
40 |
40 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
43 |
40 |
$2K |
| 72100 |
|
66 |
65 |
$2K |
| 77065 |
Tomosynthesis, mammo |
32 |
28 |
$2K |
| 72170 |
|
74 |
68 |
$2K |
| 76801 |
|
12 |
12 |
$521.29 |
| 73080 |
|
16 |
15 |
$445.12 |
| 73590 |
|
14 |
12 |
$363.72 |
| 74021 |
|
14 |
14 |
$358.15 |