| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
48,587 |
48,581 |
$7.03M |
| 76641 |
|
21,612 |
14,965 |
$2.43M |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25,384 |
25,368 |
$2.32M |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
33,278 |
33,273 |
$1.86M |
| 76536 |
|
12,705 |
12,694 |
$1.51M |
| 93976 |
|
8,443 |
8,433 |
$1.40M |
| 74183 |
|
2,744 |
2,742 |
$1.09M |
| 71046 |
Radiologic examination, chest; 2 views |
23,016 |
22,992 |
$768K |
| 76830 |
Ultrasound, transvaginal |
4,043 |
4,037 |
$517K |
| 74178 |
|
1,347 |
1,347 |
$495K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,267 |
1,265 |
$461K |
| 71250 |
|
2,708 |
2,708 |
$407K |
| 77065 |
Tomosynthesis, mammo |
2,474 |
2,467 |
$345K |
| 77080 |
|
8,355 |
8,354 |
$338K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,489 |
1,489 |
$320K |
| 72110 |
|
5,331 |
5,327 |
$275K |
| 73562 |
|
6,215 |
4,228 |
$267K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
3,355 |
3,353 |
$261K |
| 76770 |
|
1,789 |
1,787 |
$205K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,149 |
2,147 |
$201K |
| 71271 |
|
1,278 |
1,278 |
$191K |
| 72050 |
|
3,433 |
3,431 |
$180K |
| 76775 |
|
2,983 |
2,980 |
$145K |
| 77066 |
Tomosynthesis, mammo |
775 |
774 |
$134K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
567 |
566 |
$134K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
518 |
518 |
$111K |
| 73630 |
|
3,069 |
2,440 |
$109K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,899 |
1,893 |
$102K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
3,898 |
3,859 |
$70K |
| 58340 |
|
248 |
248 |
$64K |
| 72141 |
|
281 |
281 |
$62K |
| 74170 |
|
212 |
212 |
$58K |
| 73030 |
|
1,669 |
1,480 |
$58K |
| 76857 |
|
1,240 |
1,240 |
$52K |
| 73130 |
|
1,048 |
810 |
$40K |
| 73610 |
|
1,078 |
917 |
$40K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
104 |
104 |
$35K |
| 70486 |
|
218 |
218 |
$32K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,343 |
3,295 |
$31K |
| 72198 |
|
69 |
69 |
$29K |
| 74021 |
|
428 |
426 |
$18K |
| 99072 |
|
27,021 |
25,596 |
$16K |
| 73110 |
|
376 |
318 |
$15K |
| 71047 |
|
366 |
365 |
$15K |
| 77049 |
|
26 |
26 |
$9K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
49 |
49 |
$9K |
| 70544 |
|
25 |
25 |
$8K |
| 76881 |
|
104 |
94 |
$7K |
| 72070 |
|
179 |
179 |
$6K |
| 70543 |
|
12 |
12 |
$5K |
| 76981 |
|
41 |
41 |
$4K |
| 71100 |
|
117 |
117 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
15 |
$4K |
| 73502 |
|
60 |
60 |
$3K |
| 76376 |
|
121 |
120 |
$2K |
| 71048 |
|
44 |
44 |
$2K |
| A9581 |
Injection, gadoxetate disodium, 1 ml |
12 |
12 |
$2K |
| 76831 |
|
12 |
12 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$1K |
| 74740 |
|
12 |
12 |
$1K |
| 73080 |
|
32 |
26 |
$1K |
| 73522 |
|
14 |
14 |
$703.09 |