| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16,262 |
16,245 |
$1.54M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
18,912 |
18,595 |
$1.40M |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15,359 |
15,349 |
$710K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
10,775 |
10,760 |
$522K |
| 70450 |
Computed tomography, head or brain; without contrast material |
20,712 |
20,066 |
$516K |
| 76641 |
|
2,970 |
1,686 |
$333K |
| 71045 |
Radiologic examination, chest; single view |
52,140 |
46,136 |
$291K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
5,980 |
5,958 |
$277K |
| 76830 |
Ultrasound, transvaginal |
5,429 |
5,408 |
$271K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,339 |
1,299 |
$263K |
| 71046 |
Radiologic examination, chest; 2 views |
24,503 |
24,251 |
$257K |
| 76642 |
|
3,484 |
3,078 |
$243K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,000 |
1,261 |
$205K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,381 |
3,294 |
$201K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
6,695 |
6,629 |
$185K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,756 |
1,155 |
$182K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,198 |
3,143 |
$87K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,668 |
1,616 |
$72K |
| 76770 |
|
1,605 |
1,597 |
$61K |
| 77066 |
Tomosynthesis, mammo |
362 |
361 |
$58K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,128 |
1,127 |
$43K |
| 73221 |
|
400 |
231 |
$39K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,192 |
1,173 |
$38K |
| 73030 |
|
2,857 |
2,579 |
$36K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
853 |
818 |
$29K |
| 72141 |
|
253 |
150 |
$26K |
| 73630 |
|
2,579 |
2,385 |
$26K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
403 |
402 |
$25K |
| 76536 |
|
226 |
226 |
$24K |
| 73562 |
|
2,393 |
2,100 |
$23K |
| 73130 |
|
1,425 |
1,256 |
$22K |
| 93971 |
|
1,268 |
1,259 |
$21K |
| 73610 |
|
2,104 |
2,016 |
$20K |
| 77065 |
Tomosynthesis, mammo |
195 |
183 |
$18K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
373 |
373 |
$17K |
| 99152 |
|
1,145 |
1,089 |
$16K |
| 76801 |
|
420 |
403 |
$15K |
| 93976 |
|
113 |
113 |
$13K |
| 71250 |
|
123 |
121 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
40 |
25 |
$11K |
| 73110 |
|
850 |
809 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
334 |
330 |
$10K |
| 72110 |
|
255 |
255 |
$10K |
| 73564 |
|
560 |
458 |
$9K |
| 74018 |
|
996 |
916 |
$7K |
| 73502 |
|
407 |
400 |
$6K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
51 |
51 |
$6K |
| 72100 |
|
406 |
406 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
576 |
475 |
$4K |
| 77080 |
|
139 |
137 |
$4K |
| 76882 |
|
169 |
134 |
$4K |
| 71271 |
|
37 |
37 |
$3K |
| 93970 |
|
116 |
114 |
$3K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
151 |
131 |
$3K |
| 77062 |
|
49 |
49 |
$2K |
| 73080 |
|
143 |
139 |
$2K |
| 73560 |
|
136 |
117 |
$2K |
| 73140 |
|
101 |
99 |
$1K |
| 72072 |
|
29 |
29 |
$931.21 |
| 71020 |
|
108 |
57 |
$858.41 |
| 71010 |
|
128 |
102 |
$798.24 |
| 76937 |
|
140 |
120 |
$724.29 |
| 76857 |
|
13 |
13 |
$706.92 |
| 76870 |
|
12 |
12 |
$558.48 |
| 72040 |
|
14 |
14 |
$381.85 |
| 70486 |
|
12 |
12 |
$357.06 |
| 73590 |
|
42 |
36 |
$289.94 |
| 99153 |
Mod sedat endo service >5yrs |
22 |
12 |
$268.85 |
| 73600 |
|
12 |
12 |
$90.80 |
| 77001 |
|
28 |
24 |
$83.04 |
| 73620 |
|
13 |
13 |
$80.53 |
| 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) |
78 |
18 |
$0.00 |