| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,949 |
3,677 |
$249K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,175 |
1,028 |
$71K |
| 76641 |
|
1,749 |
1,009 |
$65K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
665 |
564 |
$27K |
| 76830 |
Ultrasound, transvaginal |
613 |
540 |
$25K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,057 |
2,841 |
$25K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
487 |
421 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
375 |
318 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
2,005 |
1,599 |
$19K |
| 76536 |
|
228 |
206 |
$9K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
87 |
78 |
$3K |
| 72100 |
|
413 |
275 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
68 |
64 |
$3K |
| 76801 |
|
43 |
38 |
$2K |
| 77066 |
Tomosynthesis, mammo |
26 |
25 |
$2K |
| 77080 |
|
146 |
128 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
27 |
27 |
$1K |
| 76770 |
|
18 |
14 |
$432.31 |
| 73560 |
|
22 |
12 |
$87.32 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
12 |
$0.00 |
| 7025F |
|
12 |
12 |
$0.00 |