| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,185 |
3,816 |
$104K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
2,559 |
2,370 |
$77K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,435 |
3,239 |
$61K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,967 |
1,826 |
$60K |
| 76830 |
Ultrasound, transvaginal |
1,820 |
1,662 |
$59K |
| 70450 |
Computed tomography, head or brain; without contrast material |
987 |
938 |
$53K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
915 |
845 |
$36K |
| 76642 |
|
1,499 |
1,188 |
$32K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
894 |
825 |
$27K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
606 |
549 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
921 |
885 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
4,570 |
3,649 |
$16K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
472 |
468 |
$14K |
| 77066 |
Tomosynthesis, mammo |
431 |
379 |
$13K |
| 76770 |
|
531 |
517 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,476 |
1,382 |
$7K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
213 |
187 |
$5K |
| 76801 |
|
144 |
140 |
$5K |
| 76536 |
|
157 |
154 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
110 |
109 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
154 |
151 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
26 |
$3K |
| 76818 |
|
85 |
73 |
$3K |
| 73630 |
|
221 |
194 |
$2K |
| 77065 |
Tomosynthesis, mammo |
83 |
78 |
$2K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
89 |
78 |
$2K |
| 93970 |
|
144 |
131 |
$2K |
| 93976 |
|
52 |
49 |
$2K |
| 93971 |
|
143 |
117 |
$1K |
| 73562 |
|
123 |
95 |
$1K |
| 73130 |
|
99 |
72 |
$815.18 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
30 |
25 |
$627.48 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
19 |
19 |
$572.88 |
| 73030 |
|
58 |
55 |
$543.29 |
| 71250 |
|
28 |
25 |
$528.83 |
| 73610 |
|
39 |
37 |
$470.95 |
| 93975 |
|
13 |
12 |
$437.37 |
| 93880 |
|
38 |
38 |
$433.02 |
| 72110 |
|
31 |
31 |
$428.02 |
| 74018 |
|
117 |
99 |
$412.50 |
| 77080 |
|
49 |
49 |
$399.73 |
| 73564 |
|
15 |
15 |
$148.66 |
| 72100 |
|
12 |
12 |
$136.41 |