| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,466 |
2,373 |
$191K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,938 |
1,903 |
$147K |
| 93975 |
|
813 |
767 |
$133K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,807 |
1,762 |
$117K |
| 76830 |
Ultrasound, transvaginal |
759 |
744 |
$67K |
| 76536 |
|
555 |
535 |
$45K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,593 |
1,540 |
$41K |
| 71046 |
Radiologic examination, chest; 2 views |
1,764 |
1,707 |
$38K |
| 76641 |
|
439 |
329 |
$27K |
| 77072 |
|
564 |
557 |
$11K |
| 72100 |
|
190 |
185 |
$5K |
| 76770 |
|
81 |
80 |
$4K |
| 72082 |
|
84 |
81 |
$4K |
| 73562 |
|
156 |
124 |
$4K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$2K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
14 |
$2K |
| 74018 |
|
50 |
49 |
$1K |
| 99072 |
|
782 |
729 |
$1K |
| 93922 |
|
311 |
162 |
$1K |
| 77080 |
|
100 |
89 |
$1K |
| 71250 |
|
13 |
13 |
$831.85 |
| 95923 |
|
142 |
124 |
$800.83 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$622.49 |
| 72040 |
|
25 |
25 |
$471.88 |
| 93000 |
|
55 |
52 |
$428.03 |
| 95921 |
|
243 |
175 |
$393.24 |
| 73630 |
|
14 |
12 |
$359.55 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
78 |
56 |
$0.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
83 |
67 |
$0.00 |