| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,413 |
2,994 |
$398K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,395 |
2,976 |
$159K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,978 |
1,845 |
$87K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
273 |
242 |
$66K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
666 |
570 |
$58K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
784 |
692 |
$49K |
| 76830 |
Ultrasound, transvaginal |
417 |
368 |
$44K |
| 71046 |
Radiologic examination, chest; 2 views |
2,376 |
2,192 |
$40K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
531 |
474 |
$35K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
240 |
221 |
$21K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
235 |
224 |
$12K |
| 71250 |
|
337 |
298 |
$12K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
186 |
174 |
$8K |
| 72141 |
|
61 |
51 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
44 |
42 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
26 |
25 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
54 |
$3K |
| 77066 |
Tomosynthesis, mammo |
16 |
12 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
65 |
63 |
$2K |
| 71271 |
|
24 |
24 |
$832.29 |
| 76642 |
|
45 |
40 |
$682.96 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
136 |
119 |
$509.83 |
| 76770 |
|
44 |
38 |
$426.81 |
| 74018 |
|
14 |
13 |
$344.15 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$217.32 |
| 73030 |
|
15 |
12 |
$215.78 |
| 77065 |
Tomosynthesis, mammo |
14 |
13 |
$71.85 |
| 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) |
489 |
464 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
141 |
137 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
399 |
390 |
$0.00 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
17 |
14 |
$0.00 |