| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18,361 |
13,243 |
$1.21M |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14,087 |
10,638 |
$401K |
| 76830 |
Ultrasound, transvaginal |
6,465 |
4,706 |
$353K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,901 |
4,605 |
$318K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
6,488 |
4,738 |
$303K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,047 |
1,621 |
$227K |
| 70450 |
Computed tomography, head or brain; without contrast material |
8,742 |
6,791 |
$178K |
| 76642 |
|
3,475 |
2,522 |
$154K |
| 76801 |
|
2,441 |
1,689 |
$126K |
| 71046 |
Radiologic examination, chest; 2 views |
13,368 |
10,199 |
$104K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,192 |
1,801 |
$102K |
| 71250 |
|
1,993 |
1,713 |
$88K |
| 77066 |
Tomosynthesis, mammo |
1,133 |
867 |
$80K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,475 |
1,061 |
$78K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,337 |
1,753 |
$60K |
| 71045 |
Radiologic examination, chest; single view |
17,869 |
12,210 |
$55K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
533 |
366 |
$53K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
803 |
574 |
$51K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,366 |
921 |
$49K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,447 |
1,215 |
$47K |
| 77065 |
Tomosynthesis, mammo |
623 |
453 |
$33K |
| 71271 |
|
470 |
333 |
$30K |
| 76536 |
|
595 |
427 |
$28K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
824 |
538 |
$27K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,502 |
1,110 |
$25K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
338 |
295 |
$20K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
680 |
469 |
$19K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
712 |
583 |
$17K |
| 77062 |
|
413 |
314 |
$12K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
148 |
110 |
$12K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
405 |
298 |
$11K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
356 |
307 |
$11K |
| 72141 |
|
146 |
118 |
$10K |
| 93971 |
|
706 |
574 |
$9K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
57 |
42 |
$9K |
| 73221 |
|
57 |
41 |
$8K |
| 77061 |
|
234 |
169 |
$7K |
| 76770 |
|
179 |
147 |
$7K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
242 |
208 |
$6K |
| 93976 |
|
231 |
170 |
$6K |
| 73562 |
|
865 |
546 |
$5K |
| 73030 |
|
932 |
656 |
$5K |
| 72110 |
|
177 |
113 |
$3K |
| 74178 |
|
24 |
14 |
$3K |
| 93970 |
|
226 |
188 |
$3K |
| 71270 |
|
116 |
87 |
$3K |
| 78582 |
|
85 |
76 |
$2K |
| 73560 |
|
244 |
129 |
$2K |
| 72100 |
|
277 |
193 |
$2K |
| 73502 |
|
360 |
296 |
$2K |
| 73630 |
|
354 |
230 |
$2K |
| 77080 |
|
73 |
52 |
$1K |
| 70486 |
|
81 |
41 |
$1K |
| 73130 |
|
158 |
75 |
$745.73 |
| 73610 |
|
164 |
99 |
$608.25 |
| 73110 |
|
62 |
28 |
$497.15 |
| 78580 |
|
39 |
36 |
$463.33 |
| 74018 |
|
162 |
106 |
$330.11 |
| 73552 |
|
22 |
12 |
$123.93 |
| 72040 |
|
31 |
14 |
$106.80 |
| 74019 |
|
44 |
27 |
$102.22 |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
13 |
13 |
$51.16 |
| 73090 |
|
20 |
12 |
$37.08 |
| 72050 |
|
13 |
13 |
$0.00 |