| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,026 |
2,019 |
$167K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
658 |
648 |
$37K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,023 |
2,004 |
$36K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,382 |
1,322 |
$28K |
| 77066 |
Tomosynthesis, mammo |
244 |
240 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
3,053 |
2,997 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
5,728 |
3,705 |
$20K |
| 76642 |
|
830 |
664 |
$19K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
662 |
656 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
395 |
383 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
471 |
469 |
$13K |
| 76830 |
Ultrasound, transvaginal |
430 |
428 |
$12K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
270 |
267 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
206 |
204 |
$7K |
| 93976 |
|
192 |
188 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
214 |
210 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
140 |
127 |
$6K |
| 73630 |
|
961 |
809 |
$5K |
| 73562 |
|
852 |
711 |
$5K |
| 77065 |
Tomosynthesis, mammo |
50 |
49 |
$5K |
| 71250 |
|
226 |
214 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
109 |
107 |
$4K |
| 36569 |
|
119 |
72 |
$3K |
| 72110 |
|
229 |
229 |
$3K |
| 76770 |
|
140 |
140 |
$2K |
| 73130 |
|
373 |
317 |
$2K |
| 73030 |
|
381 |
346 |
$2K |
| 76937 |
|
422 |
323 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
34 |
34 |
$2K |
| 72141 |
|
53 |
52 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
59 |
56 |
$2K |
| 73610 |
|
280 |
257 |
$2K |
| 93971 |
|
109 |
102 |
$2K |
| 73560 |
|
239 |
184 |
$1K |
| 74183 |
|
24 |
24 |
$1K |
| 73502 |
|
201 |
191 |
$1K |
| 77080 |
|
356 |
350 |
$1K |
| 76801 |
|
27 |
27 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$918.35 |
| 72100 |
|
88 |
88 |
$710.97 |
| 73110 |
|
85 |
75 |
$563.40 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$539.89 |
| 36410 |
|
149 |
128 |
$513.99 |
| 93970 |
|
45 |
45 |
$511.80 |
| 76641 |
|
21 |
12 |
$504.15 |
| 70544 |
|
30 |
27 |
$495.18 |
| 74018 |
|
127 |
95 |
$477.00 |
| 70547 |
|
13 |
12 |
$386.51 |
| 73620 |
|
84 |
70 |
$305.63 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
14 |
$290.96 |
| 73600 |
|
42 |
35 |
$214.17 |
| 76536 |
|
12 |
12 |
$206.02 |
| 73080 |
|
31 |
28 |
$191.92 |
| 72050 |
|
15 |
15 |
$181.65 |
| 73590 |
|
34 |
28 |
$175.63 |
| 72040 |
|
26 |
26 |
$164.49 |
| 77001 |
|
17 |
14 |
$136.16 |
| 73564 |
|
16 |
14 |
$101.58 |
| 72070 |
|
12 |
12 |
$91.78 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
947 |
917 |
$0.00 |
| 3342F |
|
500 |
500 |
$0.00 |
| G9638 |
Final reports without 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) |
798 |
648 |
$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) |
1,069 |
901 |
$0.00 |
| 7025F |
|
636 |
636 |
$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 |
419 |
391 |
$0.00 |
| 3341F |
|
20 |
20 |
$0.00 |
| 6030F |
|
47 |
12 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
21 |
20 |
$-24.42 |