| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,221 |
1,201 |
$135K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,219 |
1,199 |
$52K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
462 |
452 |
$31K |
| 76830 |
Ultrasound, transvaginal |
375 |
366 |
$29K |
| 76536 |
|
361 |
358 |
$26K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
396 |
396 |
$19K |
| 93976 |
|
142 |
142 |
$19K |
| 76642 |
|
232 |
190 |
$17K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
236 |
211 |
$16K |
| 77066 |
Tomosynthesis, mammo |
84 |
84 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
787 |
779 |
$9K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
179 |
177 |
$7K |
| 76641 |
|
23 |
13 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$2K |
| 72110 |
|
44 |
44 |
$2K |
| 77080 |
|
27 |
27 |
$2K |
| 76770 |
|
29 |
28 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
235 |
230 |
$654.44 |
| 71250 |
|
36 |
36 |
$563.82 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
28 |
28 |
$439.97 |
| 73630 |
|
16 |
12 |
$411.74 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
107 |
103 |
$11.30 |
| 99072 |
|
13 |
12 |
$0.00 |