| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,481 |
6,278 |
$693K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,138 |
956 |
$241K |
| 77066 |
Tomosynthesis, mammo |
1,979 |
1,811 |
$221K |
| 76642 |
|
3,211 |
2,882 |
$214K |
| 77065 |
Tomosynthesis, mammo |
830 |
751 |
$68K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
314 |
263 |
$58K |
| 72141 |
|
262 |
228 |
$55K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
500 |
454 |
$25K |
| 76830 |
Ultrasound, transvaginal |
233 |
213 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
733 |
609 |
$15K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
60 |
51 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
132 |
123 |
$10K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
6,122 |
5,968 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
54 |
51 |
$9K |
| 77080 |
|
68 |
68 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
44 |
41 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
365 |
272 |
$2K |
| 72100 |
|
56 |
49 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
853 |
804 |
$1K |
| 74018 |
|
30 |
24 |
$487.87 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
633 |
590 |
$270.24 |
| 73562 |
|
17 |
13 |
$257.66 |
| 77062 |
|
1,097 |
1,062 |
$28.07 |
| 77061 |
|
261 |
255 |
$0.00 |