| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,634 |
1,629 |
$206K |
| 76641 |
|
2,222 |
1,157 |
$178K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
718 |
716 |
$60K |
| 77066 |
Tomosynthesis, mammo |
205 |
204 |
$31K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
432 |
424 |
$30K |
| 76830 |
Ultrasound, transvaginal |
378 |
372 |
$26K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
479 |
475 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
637 |
633 |
$16K |
| 77065 |
Tomosynthesis, mammo |
52 |
52 |
$6K |
| 76536 |
|
71 |
71 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
24 |
12 |
$3K |
| 77080 |
|
66 |
66 |
$2K |
| 76770 |
|
27 |
27 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
175 |
167 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
115 |
110 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
27 |
27 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
109 |
98 |
$772.06 |
| 73030 |
|
15 |
12 |
$401.15 |
| 99072 |
|
135 |
131 |
$7.68 |