| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,453 |
2,447 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,909 |
2,898 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
380 |
367 |
$9K |
| 73562 |
|
2,683 |
2,305 |
$9K |
| 72110 |
|
2,209 |
2,202 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,845 |
1,843 |
$7K |
| 73030 |
|
1,531 |
1,407 |
$5K |
| 73630 |
|
1,582 |
1,413 |
$4K |
| 76536 |
|
712 |
710 |
$3K |
| 73130 |
|
1,277 |
1,108 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,707 |
1,704 |
$3K |
| 76770 |
|
365 |
365 |
$3K |
| 72050 |
|
593 |
592 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
61 |
$2K |
| 73610 |
|
892 |
861 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,554 |
1,553 |
$2K |
| 76830 |
Ultrasound, transvaginal |
767 |
767 |
$1K |
| 76641 |
|
617 |
460 |
$1K |
| 73110 |
|
468 |
429 |
$1K |
| 76642 |
|
340 |
300 |
$1K |
| 74018 |
|
466 |
462 |
$921.41 |
| 77065 |
Tomosynthesis, mammo |
137 |
135 |
$893.31 |
| 73620 |
|
484 |
254 |
$697.83 |
| 72072 |
|
217 |
217 |
$604.11 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$465.97 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
332 |
326 |
$438.79 |
| 73501 |
|
36 |
36 |
$86.44 |
| 73080 |
|
27 |
27 |
$80.13 |
| 72082 |
|
12 |
12 |
$60.22 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
67 |
67 |
$59.56 |
| 74022 |
|
12 |
12 |
$32.09 |
| 73140 |
|
49 |
48 |
$30.52 |
| 76882 |
|
28 |
27 |
$28.20 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$0.00 |