| Code | Description | Claims | Beneficiaries | Total Paid |
| 76641 |
|
35,604 |
25,917 |
$2.74M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
36,793 |
36,753 |
$2.70M |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
34,224 |
34,188 |
$1.17M |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,025 |
724 |
$1.09M |
| 77066 |
Tomosynthesis, mammo |
7,138 |
7,084 |
$696K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
10,879 |
10,866 |
$477K |
| 77065 |
Tomosynthesis, mammo |
5,754 |
5,565 |
$471K |
| 76830 |
Ultrasound, transvaginal |
10,403 |
10,390 |
$437K |
| 19083 |
|
929 |
921 |
$357K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
8,556 |
8,487 |
$302K |
| 76642 |
|
5,010 |
4,632 |
$275K |
| 47562 |
|
844 |
844 |
$233K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,202 |
8,876 |
$230K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,457 |
4,452 |
$210K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,279 |
6,812 |
$196K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
667 |
666 |
$179K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
444 |
444 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,158 |
2,154 |
$61K |
| 76801 |
|
615 |
600 |
$36K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
563 |
563 |
$30K |
| 99254 |
|
516 |
511 |
$24K |
| 77080 |
|
937 |
935 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
313 |
305 |
$18K |
| L8000 |
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type |
318 |
318 |
$18K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
132 |
124 |
$17K |
| 19285 |
|
75 |
75 |
$17K |
| 99422 |
|
821 |
800 |
$15K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
248 |
248 |
$14K |
| 76881 |
|
285 |
282 |
$14K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
357 |
356 |
$13K |
| 99205 |
Prolong outpt/office vis |
279 |
279 |
$12K |
| 14000 |
|
92 |
91 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
327 |
187 |
$7K |
| 49561 |
|
14 |
14 |
$5K |
| 49594 |
|
15 |
15 |
$5K |
| 14020 |
|
24 |
24 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
24 |
24 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
134 |
134 |
$3K |
| 49507 |
|
12 |
12 |
$2K |
| 49568 |
|
13 |
13 |
$2K |
| 76857 |
|
82 |
82 |
$2K |
| 76536 |
|
56 |
56 |
$2K |
| L8030 |
Breast prosthesis, silicone or equal, without integral adhesive |
13 |
12 |
$2K |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
12 |
12 |
$1K |
| 99255 |
|
26 |
26 |
$1K |
| 82947 |
|
399 |
398 |
$997.70 |
| 76098 |
|
52 |
52 |
$970.54 |
| 99243 |
|
52 |
52 |
$481.41 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
82 |
82 |
$216.92 |