| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,839 |
4,835 |
$465K |
| 76641 |
|
3,047 |
2,651 |
$237K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,909 |
3,906 |
$172K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,952 |
1,940 |
$132K |
| 76536 |
|
904 |
901 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
3,132 |
3,109 |
$48K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
592 |
592 |
$34K |
| 74183 |
|
110 |
109 |
$22K |
| 76830 |
Ultrasound, transvaginal |
186 |
185 |
$20K |
| 73562 |
|
628 |
507 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
97 |
97 |
$16K |
| 71250 |
|
260 |
258 |
$16K |
| 73630 |
|
574 |
490 |
$11K |
| 74178 |
|
85 |
84 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
128 |
128 |
$10K |
| 72110 |
|
328 |
326 |
$9K |
| 77065 |
Tomosynthesis, mammo |
125 |
124 |
$8K |
| 72100 |
|
250 |
248 |
$7K |
| 76775 |
|
148 |
148 |
$6K |
| 77072 |
|
317 |
317 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
70 |
70 |
$5K |
| 73030 |
|
203 |
185 |
$4K |
| 77080 |
|
115 |
115 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
28 |
26 |
$4K |
| 76770 |
|
50 |
50 |
$3K |
| 76882 |
|
66 |
59 |
$3K |
| 77066 |
Tomosynthesis, mammo |
24 |
24 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$2K |
| 73610 |
|
62 |
55 |
$2K |
| 73502 |
|
72 |
72 |
$1K |
| 73130 |
|
59 |
50 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
366 |
310 |
$1K |
| 93971 |
|
14 |
14 |
$1K |
| 93970 |
|
12 |
12 |
$999.34 |
| 72070 |
|
31 |
31 |
$633.41 |
| 73110 |
|
17 |
13 |
$540.36 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
126 |
123 |
$513.57 |
| 72082 |
|
15 |
15 |
$512.42 |
| 76857 |
|
12 |
12 |
$184.54 |