| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
7,807 |
7,805 |
$859K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,140 |
2,114 |
$475K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
6,361 |
6,360 |
$286K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,187 |
1,187 |
$244K |
| 73221 |
|
772 |
765 |
$165K |
| 76641 |
|
1,077 |
1,065 |
$117K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
249 |
248 |
$86K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
450 |
447 |
$85K |
| 71046 |
Radiologic examination, chest; 2 views |
4,236 |
4,210 |
$61K |
| 72141 |
|
195 |
195 |
$36K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
143 |
143 |
$28K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
561 |
550 |
$15K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
37 |
37 |
$4K |
| 72100 |
|
96 |
96 |
$3K |
| 71271 |
|
12 |
12 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
39 |
38 |
$1K |
| 76770 |
|
12 |
12 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
78 |
75 |
$724.57 |
| 71045 |
Radiologic examination, chest; single view |
79 |
75 |
$530.63 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$411.12 |
| 74019 |
|
13 |
13 |
$367.05 |