| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,864 |
3,854 |
$334K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,843 |
3,833 |
$167K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,074 |
1,069 |
$71K |
| 76830 |
Ultrasound, transvaginal |
1,297 |
1,294 |
$66K |
| 76642 |
|
899 |
768 |
$53K |
| 71046 |
Radiologic examination, chest; 2 views |
1,134 |
1,128 |
$24K |
| 77066 |
Tomosynthesis, mammo |
202 |
202 |
$21K |
| 76536 |
|
347 |
344 |
$16K |
| 73562 |
|
835 |
586 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
205 |
205 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
42 |
39 |
$10K |
| 73030 |
|
447 |
368 |
$9K |
| 72100 |
|
310 |
308 |
$8K |
| 77065 |
Tomosynthesis, mammo |
77 |
75 |
$7K |
| 76641 |
|
76 |
41 |
$6K |
| 73130 |
|
221 |
150 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$3K |
| 73630 |
|
154 |
129 |
$3K |
| 77080 |
|
96 |
96 |
$3K |
| 77062 |
|
160 |
160 |
$1K |
| 73560 |
|
107 |
86 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
27 |
$1K |
| 72040 |
|
63 |
63 |
$1K |
| 76770 |
|
13 |
13 |
$807.20 |
| 73564 |
|
69 |
51 |
$681.01 |
| 73502 |
|
16 |
15 |
$364.67 |
| 76882 |
|
12 |
12 |
$183.75 |
| 77061 |
|
14 |
14 |
$0.00 |