| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
7,561 |
7,519 |
$988K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
7,317 |
7,276 |
$370K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,078 |
1,069 |
$257K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,390 |
778 |
$142K |
| 76642 |
|
1,557 |
1,517 |
$125K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
598 |
318 |
$104K |
| 71046 |
Radiologic examination, chest; 2 views |
3,645 |
3,589 |
$78K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
827 |
813 |
$57K |
| 73221 |
|
348 |
190 |
$45K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
469 |
468 |
$45K |
| 76830 |
Ultrasound, transvaginal |
651 |
636 |
$43K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
995 |
986 |
$43K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
636 |
626 |
$40K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
387 |
212 |
$39K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
799 |
794 |
$39K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,400 |
1,360 |
$38K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
143 |
137 |
$25K |
| 93976 |
|
95 |
90 |
$24K |
| 77066 |
Tomosynthesis, mammo |
141 |
139 |
$20K |
| 72141 |
|
190 |
107 |
$19K |
| 77065 |
Tomosynthesis, mammo |
149 |
144 |
$14K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,759 |
1,732 |
$13K |
| 73630 |
|
509 |
454 |
$11K |
| 73564 |
|
456 |
384 |
$9K |
| 73030 |
|
379 |
347 |
$7K |
| 76801 |
|
79 |
79 |
$6K |
| 73610 |
|
236 |
227 |
$6K |
| 76770 |
|
53 |
53 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
46 |
46 |
$4K |
| 77080 |
|
84 |
84 |
$4K |
| 73110 |
|
128 |
115 |
$3K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
52 |
52 |
$3K |
| 73130 |
|
104 |
89 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
31 |
30 |
$3K |
| 76536 |
|
40 |
40 |
$2K |
| 72100 |
|
69 |
69 |
$2K |
| 73502 |
|
69 |
65 |
$2K |
| 74018 |
|
55 |
54 |
$1K |
| 71250 |
|
49 |
42 |
$1K |
| 73560 |
|
139 |
101 |
$988.37 |
| 73562 |
|
46 |
41 |
$796.10 |
| 72040 |
|
14 |
14 |
$285.78 |
| 73140 |
|
14 |
14 |
$218.26 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$212.04 |