| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,016 |
1,903 |
$157K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
707 |
636 |
$129K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,917 |
1,846 |
$115K |
| 76641 |
|
1,038 |
986 |
$104K |
| 76536 |
|
888 |
817 |
$76K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
757 |
729 |
$60K |
| 76830 |
Ultrasound, transvaginal |
513 |
490 |
$48K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,934 |
1,853 |
$47K |
| 72110 |
|
870 |
841 |
$36K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
238 |
234 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
1,691 |
1,581 |
$35K |
| 73221 |
|
144 |
133 |
$29K |
| 76770 |
|
258 |
240 |
$23K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
105 |
102 |
$23K |
| 73564 |
|
530 |
512 |
$19K |
| 73700 |
|
176 |
160 |
$19K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
44 |
44 |
$17K |
| 72050 |
|
220 |
207 |
$9K |
| 71250 |
|
70 |
66 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
71 |
68 |
$7K |
| 77080 |
|
312 |
306 |
$7K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
180 |
171 |
$7K |
| 73130 |
|
202 |
196 |
$6K |
| 73030 |
|
232 |
222 |
$5K |
| 72141 |
|
26 |
24 |
$3K |
| 77065 |
Tomosynthesis, mammo |
28 |
27 |
$2K |
| 72040 |
|
65 |
64 |
$2K |
| 73630 |
|
37 |
37 |
$1K |
| 72082 |
|
12 |
12 |
$783.83 |
| 73502 |
|
12 |
12 |
$452.83 |
| 72070 |
|
15 |
15 |
$281.45 |
| 72100 |
|
14 |
13 |
$95.08 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
105 |
78 |
$60.00 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
99 |
94 |
$42.89 |