| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
947 |
908 |
$103K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
256 |
243 |
$56K |
| 71046 |
Radiologic examination, chest; 2 views |
2,245 |
2,015 |
$48K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
471 |
449 |
$40K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
38 |
37 |
$34K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
181 |
167 |
$28K |
| 76830 |
Ultrasound, transvaginal |
225 |
218 |
$24K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
239 |
236 |
$21K |
| 71271 |
|
145 |
143 |
$15K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
767 |
602 |
$15K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
56 |
53 |
$13K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,380 |
1,212 |
$12K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
69 |
61 |
$8K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
169 |
166 |
$8K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
44 |
41 |
$6K |
| 76536 |
|
61 |
61 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
40 |
38 |
$5K |
| 71250 |
|
41 |
39 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
41 |
41 |
$3K |
| 74018 |
|
116 |
106 |
$3K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
28 |
25 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
15 |
$2K |
| 72110 |
|
42 |
40 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
88 |
73 |
$2K |
| 76801 |
|
13 |
12 |
$1K |
| 73630 |
|
22 |
14 |
$541.06 |
| 82565 |
|
18 |
13 |
$58.36 |