| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,118 |
1,101 |
$122K |
| 76642 |
|
620 |
555 |
$41K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
145 |
129 |
$19K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
196 |
189 |
$13K |
| 77066 |
Tomosynthesis, mammo |
63 |
61 |
$7K |
| 77065 |
Tomosynthesis, mammo |
54 |
50 |
$4K |
| 73221 |
|
14 |
12 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
20 |
20 |
$1K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$862.31 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
392 |
368 |
$453.76 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
31 |
31 |
$195.70 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,117 |
1,101 |
$0.00 |