| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,379 |
3,343 |
$254K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,368 |
3,332 |
$72K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
392 |
387 |
$40K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
319 |
308 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
985 |
946 |
$16K |
| 76642 |
|
353 |
310 |
$16K |
| 76830 |
Ultrasound, transvaginal |
170 |
168 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
185 |
183 |
$10K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
539 |
444 |
$9K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
342 |
334 |
$8K |
| 72100 |
|
391 |
381 |
$7K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
115 |
112 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
81 |
80 |
$5K |
| 73562 |
|
241 |
180 |
$5K |
| 71271 |
|
52 |
52 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
54 |
52 |
$3K |
| 72141 |
|
27 |
27 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
43 |
42 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
198 |
189 |
$2K |
| 77066 |
Tomosynthesis, mammo |
26 |
25 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
42 |
42 |
$2K |
| 76536 |
|
24 |
24 |
$2K |
| 73221 |
|
14 |
14 |
$1K |
| 77065 |
Tomosynthesis, mammo |
15 |
12 |
$1K |
| 73030 |
|
43 |
36 |
$602.68 |
| 72040 |
|
13 |
13 |
$288.31 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
140 |
122 |
$262.72 |
| A4550 |
Surgical trays |
325 |
309 |
$0.00 |