| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,973 |
1,687 |
$50K |
| 70450 |
Computed tomography, head or brain; without contrast material |
811 |
773 |
$50K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,083 |
855 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
1,999 |
1,852 |
$11K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
284 |
252 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,154 |
1,834 |
$8K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
188 |
180 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
107 |
106 |
$5K |
| 76801 |
|
135 |
121 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
25 |
$3K |
| 93975 |
|
96 |
78 |
$2K |
| 76830 |
Ultrasound, transvaginal |
60 |
55 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
65 |
54 |
$2K |
| 76642 |
|
58 |
49 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
48 |
26 |
$1K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
75 |
63 |
$1K |
| 77066 |
Tomosynthesis, mammo |
26 |
13 |
$977.50 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
26 |
$963.51 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
29 |
28 |
$927.51 |
| 73630 |
|
85 |
77 |
$854.50 |
| 77065 |
Tomosynthesis, mammo |
25 |
15 |
$681.67 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
16 |
$575.21 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
35 |
32 |
$426.40 |
| 74018 |
|
109 |
78 |
$330.62 |
| 76937 |
|
73 |
67 |
$326.51 |
| 73130 |
|
35 |
27 |
$318.26 |
| 73610 |
|
14 |
14 |
$200.90 |
| 73110 |
|
16 |
13 |
$168.28 |
| 73030 |
|
13 |
12 |
$124.01 |
| 77001 |
|
14 |
14 |
$102.42 |
| 99053 |
|
16 |
14 |
$0.00 |