| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
19,640 |
19,437 |
$1.98M |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
18,945 |
18,742 |
$815K |
| 76641 |
|
4,033 |
3,284 |
$418K |
| 77066 |
Tomosynthesis, mammo |
2,297 |
2,288 |
$291K |
| 76642 |
|
3,464 |
3,261 |
$241K |
| 76536 |
|
2,294 |
2,288 |
$199K |
| 76830 |
Ultrasound, transvaginal |
2,103 |
2,097 |
$198K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,382 |
1,381 |
$138K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
257 |
256 |
$85K |
| 77065 |
Tomosynthesis, mammo |
843 |
826 |
$84K |
| 76882 |
|
1,651 |
728 |
$70K |
| 71046 |
Radiologic examination, chest; 2 views |
1,629 |
1,622 |
$43K |
| 93976 |
|
391 |
389 |
$42K |
| 72100 |
|
648 |
647 |
$20K |
| 71271 |
|
169 |
169 |
$19K |
| 72110 |
|
382 |
379 |
$15K |
| 10005 |
|
152 |
152 |
$15K |
| 93970 |
|
95 |
93 |
$14K |
| 74018 |
|
522 |
518 |
$13K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
613 |
606 |
$10K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
37 |
37 |
$10K |
| 77062 |
|
210 |
209 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
113 |
113 |
$8K |
| 73630 |
|
273 |
231 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
117 |
$7K |
| 73030 |
|
274 |
239 |
$7K |
| 77080 |
|
153 |
153 |
$7K |
| 72040 |
|
195 |
195 |
$6K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
228 |
223 |
$5K |
| 73562 |
|
149 |
118 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
13 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
352 |
349 |
$3K |
| 73130 |
|
86 |
63 |
$3K |
| 72050 |
|
51 |
51 |
$2K |
| 72072 |
|
68 |
67 |
$2K |
| 93998 |
|
81 |
81 |
$2K |
| 58340 |
|
14 |
14 |
$2K |
| 76857 |
|
26 |
26 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
16 |
$1K |
| 73564 |
|
37 |
27 |
$1K |
| 73523 |
|
25 |
25 |
$1K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$1K |
| 74740 |
|
14 |
14 |
$705.70 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$663.76 |
| 73610 |
|
20 |
18 |
$456.45 |
| 73502 |
|
12 |
12 |
$448.02 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$441.96 |
| 70360 |
|
12 |
12 |
$273.74 |
| 7025F |
|
1,160 |
1,147 |
$8.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
418 |
414 |
$4.00 |
| 99072 |
|
41 |
41 |
$0.00 |