| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,243 |
4,056 |
$438K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,945 |
5,250 |
$392K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,809 |
6,798 |
$193K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,200 |
4,011 |
$172K |
| 76642 |
|
1,971 |
1,597 |
$119K |
| 71045 |
Radiologic examination, chest; single view |
27,658 |
21,385 |
$104K |
| 71046 |
Radiologic examination, chest; 2 views |
8,637 |
7,797 |
$82K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,260 |
1,130 |
$51K |
| 76536 |
|
694 |
636 |
$49K |
| 77066 |
Tomosynthesis, mammo |
334 |
309 |
$37K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,583 |
1,410 |
$31K |
| 75574 |
|
121 |
115 |
$23K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
142 |
131 |
$22K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,117 |
945 |
$22K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
299 |
278 |
$22K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
74 |
56 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
312 |
292 |
$19K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
535 |
451 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
171 |
148 |
$14K |
| 76830 |
Ultrasound, transvaginal |
231 |
214 |
$14K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
155 |
137 |
$13K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
950 |
850 |
$12K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
104 |
75 |
$9K |
| 77062 |
|
230 |
212 |
$8K |
| 71250 |
|
666 |
506 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
234 |
212 |
$5K |
| 77065 |
Tomosynthesis, mammo |
60 |
55 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
60 |
50 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
92 |
84 |
$5K |
| 93970 |
|
822 |
701 |
$5K |
| 93971 |
|
571 |
486 |
$4K |
| 77080 |
|
116 |
108 |
$4K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
137 |
88 |
$4K |
| 74018 |
|
969 |
657 |
$3K |
| 99152 |
|
254 |
210 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
16 |
14 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
396 |
367 |
$2K |
| 70498 |
|
44 |
36 |
$1K |
| 73564 |
|
118 |
103 |
$986.81 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
27 |
$708.40 |
| 73030 |
|
94 |
71 |
$447.23 |
| 77001 |
|
13 |
12 |
$400.84 |
| 73610 |
|
55 |
52 |
$367.98 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
16 |
16 |
$355.45 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$349.88 |
| 93880 |
|
14 |
13 |
$325.10 |
| 73630 |
|
40 |
38 |
$247.61 |
| 73130 |
|
29 |
25 |
$243.68 |
| 77072 |
|
12 |
12 |
$218.88 |
| 76770 |
|
44 |
44 |
$166.61 |
| 74019 |
|
12 |
12 |
$106.78 |
| 73560 |
|
21 |
15 |
$74.24 |
| 73620 |
|
14 |
12 |
$67.90 |
| 74230 |
|
84 |
77 |
$62.47 |
| 72110 |
|
13 |
12 |
$0.00 |
| 70496 |
|
16 |
13 |
$0.00 |