| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
9,709 |
7,862 |
$284K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
9,359 |
7,595 |
$215K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,048 |
988 |
$56K |
| 76642 |
|
2,032 |
1,654 |
$44K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,498 |
1,416 |
$44K |
| 77066 |
Tomosynthesis, mammo |
1,182 |
936 |
$41K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
730 |
682 |
$30K |
| 76830 |
Ultrasound, transvaginal |
737 |
715 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
794 |
767 |
$25K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,072 |
1,051 |
$21K |
| 77065 |
Tomosynthesis, mammo |
767 |
605 |
$21K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
615 |
499 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
3,606 |
3,105 |
$14K |
| 76770 |
|
472 |
469 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
335 |
315 |
$10K |
| 76641 |
|
305 |
191 |
$9K |
| 76536 |
|
273 |
247 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,184 |
1,081 |
$6K |
| 77080 |
|
629 |
608 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
128 |
119 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
55 |
45 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
118 |
111 |
$3K |
| 93970 |
|
119 |
103 |
$2K |
| 73630 |
|
182 |
159 |
$2K |
| 93971 |
|
133 |
121 |
$1K |
| 73030 |
|
114 |
104 |
$1K |
| 76801 |
|
34 |
32 |
$1K |
| 73610 |
|
78 |
76 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
33 |
32 |
$796.80 |
| 73564 |
|
65 |
56 |
$719.21 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
25 |
$707.53 |
| 74018 |
|
127 |
111 |
$508.00 |
| 76857 |
|
12 |
12 |
$371.63 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
15 |
12 |
$339.11 |
| 73562 |
|
34 |
26 |
$295.28 |
| 73110 |
|
14 |
14 |
$136.76 |
| 73130 |
|
13 |
13 |
$121.00 |
| 77062 |
|
86 |
43 |
$0.00 |