| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,699 |
2,665 |
$203K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,653 |
1,621 |
$50K |
| 76642 |
|
954 |
766 |
$42K |
| 71046 |
Radiologic examination, chest; 2 views |
2,060 |
1,994 |
$38K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
149 |
129 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
178 |
162 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
211 |
211 |
$18K |
| 77066 |
Tomosynthesis, mammo |
215 |
205 |
$17K |
| 76770 |
|
124 |
121 |
$17K |
| 77065 |
Tomosynthesis, mammo |
300 |
242 |
$15K |
| 76536 |
|
177 |
174 |
$13K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
872 |
685 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
153 |
149 |
$9K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
209 |
182 |
$6K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
821 |
714 |
$5K |
| 77062 |
|
51 |
51 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
50 |
49 |
$3K |
| 76830 |
Ultrasound, transvaginal |
41 |
41 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
38 |
38 |
$3K |
| 77080 |
|
89 |
82 |
$2K |
| 74018 |
|
12 |
12 |
$754.92 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
14 |
13 |
$226.40 |