| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
25,538 |
25,481 |
$743K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14,799 |
14,646 |
$739K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
25,409 |
25,376 |
$400K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15,156 |
14,819 |
$301K |
| 71046 |
Radiologic examination, chest; 2 views |
34,838 |
34,433 |
$224K |
| 93975 |
|
4,222 |
4,190 |
$171K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
5,548 |
5,352 |
$135K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
7,144 |
7,108 |
$133K |
| 77062 |
|
1,390 |
1,387 |
$125K |
| 71045 |
Radiologic examination, chest; single view |
26,809 |
23,666 |
$113K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,891 |
4,874 |
$112K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,423 |
2,400 |
$101K |
| 76642 |
|
3,904 |
3,583 |
$92K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,744 |
2,723 |
$88K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
2,954 |
2,356 |
$86K |
| 77066 |
Tomosynthesis, mammo |
2,571 |
2,524 |
$80K |
| 76830 |
Ultrasound, transvaginal |
3,035 |
3,026 |
$75K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,680 |
1,661 |
$54K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,807 |
1,780 |
$44K |
| 77061 |
|
741 |
735 |
$43K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
725 |
717 |
$35K |
| 77065 |
Tomosynthesis, mammo |
1,423 |
1,361 |
$34K |
| 76770 |
|
1,436 |
1,433 |
$31K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,012 |
1,010 |
$27K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
629 |
627 |
$24K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,215 |
1,184 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
687 |
657 |
$19K |
| 76536 |
|
617 |
616 |
$11K |
| 73562 |
|
1,725 |
1,560 |
$11K |
| 72100 |
|
1,610 |
1,601 |
$10K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
255 |
255 |
$10K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
233 |
224 |
$10K |
| 73030 |
|
1,624 |
1,560 |
$9K |
| 93971 |
|
650 |
644 |
$7K |
| 76801 |
|
163 |
163 |
$6K |
| 77080 |
|
1,610 |
1,607 |
$5K |
| 73610 |
|
866 |
834 |
$5K |
| 73630 |
|
973 |
924 |
$5K |
| 73130 |
|
389 |
364 |
$2K |
| 74018 |
|
405 |
397 |
$2K |
| 70496 |
|
41 |
41 |
$2K |
| 71250 |
|
103 |
103 |
$2K |
| 71271 |
|
73 |
73 |
$1K |
| 70498 |
|
27 |
27 |
$1K |
| 76376 |
|
230 |
228 |
$1K |
| 76870 |
|
49 |
49 |
$1K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
13 |
13 |
$991.80 |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
13 |
13 |
$986.18 |
| 72141 |
|
24 |
24 |
$865.39 |
| 99152 |
|
186 |
178 |
$738.42 |
| 99153 |
Mod sedat endo service >5yrs |
155 |
148 |
$548.20 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
13 |
$496.73 |
| 93970 |
|
31 |
31 |
$479.96 |
| 73110 |
|
68 |
66 |
$362.98 |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
12 |
12 |
$198.00 |
| 73590 |
|
13 |
13 |
$62.74 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
44 |
39 |
$0.00 |