| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,936 |
2,828 |
$300K |
| 76642 |
|
1,154 |
1,077 |
$71K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,173 |
1,118 |
$68K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
462 |
452 |
$48K |
| 77066 |
Tomosynthesis, mammo |
320 |
305 |
$32K |
| 77065 |
Tomosynthesis, mammo |
303 |
273 |
$23K |
| 76830 |
Ultrasound, transvaginal |
137 |
130 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
159 |
125 |
$9K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
108 |
104 |
$6K |
| 76801 |
|
64 |
62 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
53 |
49 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
49 |
48 |
$2K |
| 74221 |
|
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$426.72 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
637 |
603 |
$222.80 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
44 |
36 |
$72.30 |
| 77061 |
|
28 |
28 |
$0.00 |
| 77062 |
|
24 |
24 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,929 |
2,824 |
$0.00 |
| 73221 |
|
15 |
12 |
$0.00 |