| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
255 |
252 |
$21K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
91 |
86 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
105 |
103 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
40 |
39 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
125 |
122 |
$4K |
| 77066 |
Tomosynthesis, mammo |
27 |
27 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
146 |
145 |
$3K |
| 72141 |
|
18 |
16 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
29 |
27 |
$2K |
| 76641 |
|
35 |
29 |
$2K |
| 93882 |
|
13 |
13 |
$1K |
| 72100 |
|
51 |
47 |
$1K |
| 77065 |
Tomosynthesis, mammo |
15 |
14 |
$1K |
| 71250 |
|
12 |
12 |
$1K |
| 76642 |
|
20 |
18 |
$1K |
| 73562 |
|
60 |
45 |
$975.28 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
12 |
$693.86 |
| 73030 |
|
29 |
26 |
$543.07 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
61 |
57 |
$534.98 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
12 |
12 |
$522.74 |
| 73502 |
|
15 |
12 |
$322.50 |