| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,607 |
3,157 |
$211K |
| 71046 |
Radiologic examination, chest; 2 views |
6,699 |
5,689 |
$66K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
439 |
345 |
$52K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,861 |
1,717 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,917 |
1,440 |
$42K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
536 |
469 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
6,138 |
4,167 |
$27K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
310 |
276 |
$22K |
| 76642 |
|
457 |
361 |
$19K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
79 |
65 |
$9K |
| 74018 |
|
778 |
625 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
166 |
144 |
$7K |
| 77080 |
|
579 |
429 |
$7K |
| 76770 |
|
160 |
135 |
$5K |
| 76830 |
Ultrasound, transvaginal |
63 |
57 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
361 |
290 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
20 |
14 |
$2K |
| 77066 |
Tomosynthesis, mammo |
30 |
26 |
$2K |
| 73221 |
|
15 |
12 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
44 |
43 |
$2K |
| 73630 |
|
125 |
92 |
$1K |
| 77065 |
Tomosynthesis, mammo |
24 |
15 |
$1K |
| 71250 |
|
14 |
12 |
$800.10 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17 |
17 |
$624.62 |
| 93976 |
|
16 |
16 |
$576.32 |
| 73562 |
|
41 |
39 |
$536.23 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
13 |
12 |
$394.94 |
| 73610 |
|
38 |
36 |
$373.95 |
| 73030 |
|
33 |
27 |
$353.71 |
| 77072 |
|
13 |
13 |
$272.15 |
| 72110 |
|
15 |
12 |
$250.14 |
| 72100 |
|
13 |
13 |
$245.46 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
21 |
12 |
$94.13 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
71 |
64 |
$0.00 |
| 3342F |
|
33 |
31 |
$0.00 |
| 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) |
161 |
104 |
$0.00 |
| 7025F |
|
234 |
212 |
$0.00 |
| 3341F |
|
32 |
29 |
$0.00 |