| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,366 |
4,360 |
$92K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,471 |
1,453 |
$79K |
| 71046 |
Radiologic examination, chest; 2 views |
12,363 |
12,154 |
$67K |
| 71045 |
Radiologic examination, chest; single view |
11,795 |
10,714 |
$45K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,188 |
2,151 |
$44K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
385 |
382 |
$18K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
638 |
634 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
969 |
967 |
$12K |
| 73630 |
|
2,415 |
2,217 |
$11K |
| 76830 |
Ultrasound, transvaginal |
392 |
388 |
$9K |
| 76376 |
|
2,006 |
1,976 |
$7K |
| 73610 |
|
1,269 |
1,199 |
$7K |
| 73130 |
|
731 |
648 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
103 |
103 |
$4K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
124 |
108 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
153 |
153 |
$4K |
| 71250 |
|
178 |
178 |
$4K |
| 73030 |
|
743 |
700 |
$4K |
| 73110 |
|
613 |
561 |
$3K |
| 73562 |
|
646 |
587 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
181 |
181 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
43 |
42 |
$2K |
| 71271 |
|
107 |
106 |
$2K |
| 72100 |
|
333 |
328 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
52 |
29 |
$1K |
| 76642 |
|
70 |
68 |
$1K |
| 73502 |
|
208 |
197 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
27 |
$854.59 |
| 73564 |
|
147 |
124 |
$836.48 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
28 |
28 |
$760.32 |
| 77080 |
|
291 |
291 |
$617.95 |
| 77065 |
Tomosynthesis, mammo |
25 |
25 |
$472.16 |
| 76770 |
|
27 |
27 |
$422.34 |
| 93971 |
|
25 |
24 |
$305.73 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$274.23 |
| 74018 |
|
50 |
50 |
$231.95 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
18 |
18 |
$213.80 |
| 76536 |
|
14 |
14 |
$203.00 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
13 |
13 |
$198.00 |
| 74019 |
|
17 |
17 |
$104.22 |
| 72050 |
|
12 |
12 |
$89.12 |
| 73560 |
|
13 |
13 |
$75.92 |
| 73080 |
|
12 |
12 |
$40.85 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
13 |
12 |
$0.00 |