| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,190 |
2,050 |
$193K |
| 76642 |
|
801 |
641 |
$40K |
| 77066 |
Tomosynthesis, mammo |
356 |
328 |
$37K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
493 |
471 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
1,331 |
1,254 |
$34K |
| 93976 |
|
251 |
227 |
$26K |
| 74178 |
|
142 |
112 |
$23K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
357 |
332 |
$22K |
| 76536 |
|
309 |
285 |
$21K |
| 76830 |
Ultrasound, transvaginal |
316 |
297 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
182 |
172 |
$19K |
| 71250 |
|
221 |
204 |
$19K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
78 |
76 |
$14K |
| 76770 |
|
110 |
109 |
$8K |
| 73562 |
|
352 |
248 |
$7K |
| 77059 |
|
28 |
25 |
$7K |
| 76641 |
|
126 |
80 |
$7K |
| 77065 |
Tomosynthesis, mammo |
65 |
60 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
61 |
49 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
546 |
484 |
$4K |
| 77080 |
|
193 |
184 |
$4K |
| 72110 |
|
142 |
135 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
25 |
24 |
$4K |
| 73030 |
|
158 |
117 |
$3K |
| 72100 |
|
117 |
114 |
$3K |
| 73630 |
|
90 |
73 |
$2K |
| 73560 |
|
85 |
68 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
48 |
37 |
$1K |
| 93308 |
|
15 |
15 |
$1K |
| 72072 |
|
43 |
43 |
$959.45 |
| 73564 |
|
31 |
22 |
$727.77 |
| 73610 |
|
29 |
26 |
$551.65 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
684 |
614 |
$485.66 |
| 73523 |
|
13 |
13 |
$475.04 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
29 |
25 |
$392.35 |
| 72040 |
|
12 |
12 |
$227.28 |
| 82565 |
|
56 |
45 |
$143.27 |