| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76641 |
|
1,414 |
1,173 |
$156K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,236 |
1,234 |
$125K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
204 |
203 |
$57K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,166 |
1,164 |
$40K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
119 |
114 |
$40K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
222 |
222 |
$22K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
75 |
75 |
$22K |
| 77065 |
Tomosynthesis, mammo |
169 |
165 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
780 |
779 |
$16K |
| 72141 |
|
56 |
56 |
$16K |
| 76830 |
Ultrasound, transvaginal |
181 |
181 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
182 |
182 |
$13K |
| 73221 |
|
42 |
39 |
$13K |
| 77066 |
Tomosynthesis, mammo |
95 |
94 |
$12K |
| 73562 |
|
356 |
311 |
$11K |
| 72100 |
|
289 |
289 |
$7K |
| 77080 |
|
157 |
156 |
$7K |
| 73030 |
|
173 |
163 |
$4K |
| 77061 |
|
105 |
104 |
$2K |
| 77062 |
|
85 |
85 |
$2K |
| 76536 |
|
33 |
33 |
$2K |
| 72040 |
|
84 |
84 |
$2K |
| 73630 |
|
66 |
57 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$2K |
| 72070 |
|
45 |
45 |
$826.81 |
| 76642 |
|
12 |
12 |
$816.78 |
| 73130 |
|
34 |
29 |
$766.32 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$0.00 |