| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,421 |
5,416 |
$408K |
| 76641 |
|
5,481 |
3,784 |
$333K |
| 76536 |
|
1,284 |
1,281 |
$70K |
| 93976 |
|
1,425 |
1,415 |
$69K |
| 77065 |
Tomosynthesis, mammo |
849 |
842 |
$58K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,258 |
1,224 |
$50K |
| 71046 |
Radiologic examination, chest; 2 views |
1,812 |
1,800 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,375 |
1,273 |
$22K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
622 |
622 |
$21K |
| 71250 |
|
192 |
192 |
$21K |
| 76376 |
|
1,905 |
1,808 |
$18K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
108 |
108 |
$17K |
| 77080 |
|
248 |
236 |
$9K |
| 77066 |
Tomosynthesis, mammo |
63 |
63 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
29 |
29 |
$4K |
| 72100 |
|
172 |
172 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
13 |
12 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$704.09 |
| 73630 |
|
21 |
15 |
$418.19 |
| 36000 |
|
301 |
267 |
$27.81 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
322 |
291 |
$26.81 |