| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,164 |
1,998 |
$155K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
222 |
182 |
$114K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
699 |
589 |
$87K |
| 77066 |
Tomosynthesis, mammo |
1,227 |
1,081 |
$81K |
| 76642 |
|
2,012 |
1,653 |
$70K |
| 77065 |
Tomosynthesis, mammo |
1,327 |
1,170 |
$69K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
370 |
292 |
$62K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,714 |
1,423 |
$52K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,975 |
1,840 |
$39K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
630 |
596 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
2,320 |
2,075 |
$32K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
253 |
231 |
$31K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,994 |
1,585 |
$30K |
| 76830 |
Ultrasound, transvaginal |
445 |
422 |
$28K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
504 |
461 |
$27K |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
398 |
294 |
$19K |
| 71250 |
|
425 |
323 |
$18K |
| 76536 |
|
336 |
298 |
$17K |
| 77062 |
|
861 |
765 |
$16K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
223 |
187 |
$15K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
276 |
200 |
$14K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
150 |
137 |
$14K |
| 77061 |
|
542 |
506 |
$11K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
1,763 |
1,470 |
$9K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
589 |
475 |
$9K |
| 76770 |
|
138 |
126 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
55 |
41 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
73 |
69 |
$3K |
| 73562 |
|
194 |
144 |
$3K |
| 73630 |
|
134 |
97 |
$2K |
| 72141 |
|
14 |
12 |
$1K |
| 71271 |
|
13 |
13 |
$1K |
| 72100 |
|
74 |
67 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
50 |
50 |
$742.59 |
| 72110 |
|
12 |
12 |
$314.26 |
| Q9963 |
High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml |
71 |
41 |
$205.22 |