| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,449 |
2,394 |
$287K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,536 |
2,513 |
$165K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,351 |
2,351 |
$125K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
494 |
466 |
$80K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
203 |
189 |
$60K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
569 |
569 |
$40K |
| 76830 |
Ultrasound, transvaginal |
464 |
464 |
$31K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
542 |
541 |
$27K |
| 76642 |
|
385 |
341 |
$26K |
| 72141 |
|
172 |
159 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
985 |
976 |
$19K |
| 71250 |
|
134 |
134 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
81 |
80 |
$7K |
| 73221 |
|
63 |
56 |
$4K |
| 76770 |
|
147 |
146 |
$3K |
| 77066 |
Tomosynthesis, mammo |
26 |
26 |
$3K |
| 72100 |
|
200 |
199 |
$2K |
| 77065 |
Tomosynthesis, mammo |
31 |
28 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
17 |
17 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
19 |
$1K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
224 |
140 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$1K |
| 74178 |
|
14 |
14 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
364 |
342 |
$953.73 |
| 73030 |
|
97 |
88 |
$734.79 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
60 |
60 |
$466.31 |
| 73630 |
|
33 |
28 |
$172.95 |
| 73502 |
|
16 |
12 |
$124.92 |
| 73562 |
|
16 |
13 |
$102.84 |
| 73564 |
|
16 |
12 |
$30.46 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
446 |
439 |
$0.00 |
| 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) |
421 |
376 |
$0.00 |