| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,042 |
1,012 |
$100K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,042 |
1,013 |
$22K |
| 76641 |
|
290 |
208 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
614 |
572 |
$8K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
325 |
297 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
80 |
78 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
69 |
68 |
$5K |
| 76830 |
Ultrasound, transvaginal |
37 |
36 |
$2K |
| 62323 |
|
26 |
25 |
$2K |
| 73562 |
|
115 |
88 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
38 |
36 |
$1K |
| 77066 |
Tomosynthesis, mammo |
14 |
13 |
$1K |
| 72100 |
|
54 |
52 |
$1K |
| 72275 |
|
26 |
25 |
$764.33 |
| 73630 |
|
33 |
26 |
$367.71 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
43 |
38 |
$357.74 |
| 73030 |
|
34 |
25 |
$349.52 |
| 76377 |
|
18 |
12 |
$294.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
41 |
38 |
$85.46 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
14 |
$62.19 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
12 |
12 |
$41.48 |