| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
704 |
702 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
485 |
485 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,327 |
1,263 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
705 |
698 |
$6K |
| 76830 |
Ultrasound, transvaginal |
199 |
199 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
162 |
153 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
75 |
74 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
41 |
41 |
$3K |
| 76641 |
|
41 |
41 |
$1K |
| 71250 |
|
28 |
28 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
28 |
28 |
$703.66 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
27 |
$693.07 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$493.28 |
| 73630 |
|
44 |
44 |
$328.40 |
| 76536 |
|
12 |
12 |
$286.47 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$278.16 |
| 73610 |
|
25 |
24 |
$209.76 |
| 73030 |
|
12 |
12 |
$118.44 |
| 74018 |
|
12 |
12 |
$97.32 |
| 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) |
115 |
114 |
$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 |
27 |
26 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
80 |
76 |
$0.00 |