| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,628 |
4,626 |
$388K |
| 76641 |
|
3,346 |
2,392 |
$223K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,735 |
1,732 |
$129K |
| 71046 |
Radiologic examination, chest; 2 views |
4,748 |
4,710 |
$88K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,944 |
1,944 |
$71K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
273 |
271 |
$60K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
259 |
237 |
$59K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
216 |
215 |
$51K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
896 |
894 |
$41K |
| 76536 |
|
534 |
528 |
$30K |
| 76830 |
Ultrasound, transvaginal |
280 |
280 |
$17K |
| 77080 |
|
353 |
353 |
$14K |
| 77065 |
Tomosynthesis, mammo |
145 |
140 |
$11K |
| 76885 |
|
167 |
162 |
$11K |
| 73630 |
|
480 |
369 |
$7K |
| 77072 |
|
576 |
575 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
55 |
55 |
$6K |
| 76770 |
|
76 |
76 |
$5K |
| 72100 |
|
270 |
270 |
$5K |
| 73562 |
|
266 |
188 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$4K |
| 76642 |
|
107 |
59 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$2K |
| 72141 |
|
12 |
12 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
43 |
42 |
$2K |
| 76775 |
|
44 |
44 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
142 |
141 |
$1K |
| 72110 |
|
42 |
42 |
$1K |
| 72040 |
|
32 |
32 |
$572.54 |
| 76857 |
|
16 |
15 |
$450.88 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
25 |
25 |
$341.79 |
| 73610 |
|
17 |
14 |
$295.15 |
| 73130 |
|
17 |
13 |
$238.93 |
| 73030 |
|
15 |
13 |
$221.90 |