| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,871 |
5,824 |
$412K |
| 76642 |
|
3,093 |
2,656 |
$182K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,167 |
1,114 |
$176K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,668 |
5,621 |
$144K |
| 77066 |
Tomosynthesis, mammo |
1,014 |
983 |
$111K |
| 76830 |
Ultrasound, transvaginal |
1,334 |
1,324 |
$110K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,940 |
1,884 |
$92K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,879 |
1,827 |
$65K |
| 71046 |
Radiologic examination, chest; 2 views |
2,531 |
2,494 |
$44K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,052 |
1,005 |
$40K |
| 77065 |
Tomosynthesis, mammo |
448 |
427 |
$36K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
27 |
24 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
6,720 |
5,466 |
$15K |
| 76857 |
|
278 |
275 |
$10K |
| 73221 |
|
67 |
64 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
123 |
122 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
83 |
80 |
$6K |
| 72110 |
|
168 |
167 |
$6K |
| 76536 |
|
70 |
69 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$4K |
| 74018 |
|
272 |
251 |
$3K |
| 73564 |
|
110 |
96 |
$3K |
| 73030 |
|
129 |
124 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
42 |
42 |
$3K |
| 73630 |
|
130 |
121 |
$2K |
| 76770 |
|
40 |
40 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
160 |
154 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$2K |
| 77080 |
|
194 |
193 |
$865.00 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
26 |
$759.26 |
| 72082 |
|
13 |
13 |
$642.20 |
| 72072 |
|
13 |
12 |
$354.14 |
| 73610 |
|
13 |
12 |
$209.95 |
| 82565 |
|
150 |
146 |
$167.24 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
132 |
129 |
$31.60 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
365 |
357 |
$11.40 |
| 7025F |
|
112 |
112 |
$0.00 |
| 3341F |
|
54 |
53 |
$0.00 |