| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,516 |
2,941 |
$151K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,301 |
2,742 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
973 |
782 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
144 |
115 |
$7K |
| 78814 |
|
16 |
12 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
95 |
90 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
35 |
25 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
79 |
55 |
$4K |
| 72110 |
|
176 |
147 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
60 |
52 |
$2K |
| 76830 |
Ultrasound, transvaginal |
48 |
39 |
$1K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
13 |
12 |
$1K |
| 76536 |
|
31 |
25 |
$991.78 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
30 |
25 |
$892.23 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
30 |
$806.62 |
| 76770 |
|
33 |
26 |
$805.23 |
| 73221 |
|
17 |
12 |
$673.42 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
29 |
27 |
$454.68 |
| 77080 |
|
47 |
39 |
$382.65 |
| 72100 |
|
13 |
12 |
$137.22 |
| 99072 |
|
632 |
599 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
13 |
$0.00 |