| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,477 |
1,303 |
$39K |
| 71046 |
Radiologic examination, chest; 2 views |
2,178 |
1,990 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
375 |
334 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,096 |
977 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
3,390 |
2,780 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
400 |
348 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
312 |
276 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
188 |
156 |
$9K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
217 |
169 |
$9K |
| 99460 |
|
192 |
130 |
$6K |
| 54150 |
|
33 |
26 |
$3K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
122 |
99 |
$3K |
| 74018 |
|
386 |
342 |
$2K |
| 99462 |
|
106 |
53 |
$2K |
| 76642 |
|
94 |
66 |
$2K |
| 73562 |
|
135 |
113 |
$1K |
| 93970 |
|
14 |
12 |
$649.06 |
| 74019 |
|
71 |
66 |
$560.67 |
| 73610 |
|
72 |
64 |
$471.94 |
| 73630 |
|
60 |
56 |
$423.00 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
27 |
13 |
$417.78 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$350.88 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$349.80 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$256.96 |
| 73030 |
|
43 |
38 |
$241.53 |
| 72100 |
|
13 |
13 |
$114.66 |
| 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) |
542 |
453 |
$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 |
86 |
71 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
973 |
787 |
$0.00 |