| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
894 |
742 |
$62K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
761 |
648 |
$23K |
| 76642 |
|
327 |
236 |
$13K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
39 |
24 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
17 |
15 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
17 |
17 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
149 |
128 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
130 |
110 |
$4K |
| 77066 |
Tomosynthesis, mammo |
33 |
24 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
99 |
87 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
12 |
$2K |
| 77072 |
|
110 |
97 |
$2K |
| 76770 |
|
28 |
25 |
$1K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
72 |
36 |
$676.10 |
| 76536 |
|
12 |
12 |
$634.14 |
| 70360 |
|
30 |
28 |
$437.43 |
| 7025F |
|
245 |
206 |
$0.00 |
| A9573 |
Injection, gadopiclenol, 1 ml |
19 |
14 |
$0.00 |