| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
462 |
409 |
$40K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
429 |
378 |
$14K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
17 |
16 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
20 |
14 |
$3K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
30 |
29 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
12 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
24 |
$2K |
| 76536 |
|
15 |
14 |
$854.79 |
| 76642 |
|
15 |
12 |
$732.17 |
| 71046 |
Radiologic examination, chest; 2 views |
22 |
20 |
$481.64 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
51 |
44 |
$357.06 |