| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
14,587 |
14,009 |
$1.13M |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,545 |
2,302 |
$510K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,197 |
3,120 |
$329K |
| 76830 |
Ultrasound, transvaginal |
2,829 |
2,758 |
$310K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,169 |
2,082 |
$260K |
| 73221 |
|
896 |
817 |
$176K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
951 |
895 |
$166K |
| 76642 |
|
2,157 |
1,790 |
$122K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
512 |
472 |
$122K |
| 70486 |
|
801 |
761 |
$66K |
| 71046 |
Radiologic examination, chest; 2 views |
3,450 |
3,258 |
$66K |
| 77066 |
Tomosynthesis, mammo |
524 |
501 |
$56K |
| 73562 |
|
1,621 |
1,233 |
$50K |
| 76536 |
|
474 |
447 |
$47K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
528 |
449 |
$46K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14,391 |
13,828 |
$45K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
267 |
254 |
$42K |
| 72141 |
|
210 |
193 |
$38K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
295 |
280 |
$31K |
| 72100 |
|
576 |
554 |
$18K |
| 73030 |
|
588 |
503 |
$15K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
44 |
39 |
$8K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
926 |
870 |
$8K |
| 76801 |
|
64 |
62 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
78 |
77 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
77 |
70 |
$6K |
| 73630 |
|
230 |
199 |
$6K |
| 77080 |
|
320 |
296 |
$6K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
158 |
143 |
$4K |
| 76770 |
|
26 |
24 |
$3K |
| 82565 |
|
1,239 |
1,187 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,446 |
1,356 |
$3K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
39 |
37 |
$2K |
| 70491 |
|
12 |
12 |
$2K |
| 71271 |
|
33 |
26 |
$2K |
| 73110 |
|
49 |
40 |
$2K |
| 84520 |
|
713 |
673 |
$1K |
| 73130 |
|
43 |
36 |
$1K |
| 73502 |
|
37 |
37 |
$1K |
| 73610 |
|
46 |
38 |
$1K |
| 77065 |
Tomosynthesis, mammo |
13 |
12 |
$875.38 |
| 71250 |
|
12 |
12 |
$814.64 |
| 73564 |
|
21 |
12 |
$782.24 |
| 73522 |
|
14 |
14 |
$554.13 |
| 72110 |
|
12 |
12 |
$471.39 |
| 73560 |
|
19 |
15 |
$451.62 |