| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,713 |
2,354 |
$127K |
| 76641 |
|
1,654 |
1,038 |
$52K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,409 |
900 |
$42K |
| 76830 |
Ultrasound, transvaginal |
1,148 |
671 |
$37K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
107 |
88 |
$26K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,639 |
2,283 |
$22K |
| 93015 |
|
1,272 |
910 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
3,627 |
2,188 |
$19K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
357 |
250 |
$19K |
| 76536 |
|
662 |
362 |
$14K |
| 76770 |
|
393 |
261 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
340 |
247 |
$9K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
198 |
128 |
$9K |
| 71250 |
|
273 |
158 |
$8K |
| 77080 |
|
596 |
364 |
$4K |
| 78492 |
|
409 |
311 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
307 |
147 |
$4K |
| 93000 |
|
531 |
318 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
28 |
24 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
24 |
13 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
13 |
$920.17 |
| 73562 |
|
299 |
65 |
$590.43 |
| 72110 |
|
62 |
24 |
$436.04 |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
18 |
12 |
$300.00 |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
420 |
323 |
$159.62 |
| 78431 |
|
14 |
12 |
$47.55 |
| J2785 |
Injection, regadenoson, 0.1 mg |
188 |
176 |
$0.00 |