| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77066 |
Tomosynthesis, mammo |
1,028 |
676 |
$78K |
| 76641 |
|
1,561 |
1,040 |
$77K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
306 |
231 |
$30K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
450 |
351 |
$26K |
| 76830 |
Ultrasound, transvaginal |
323 |
230 |
$20K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
121 |
82 |
$16K |
| 76536 |
|
218 |
159 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
116 |
76 |
$8K |
| 72100 |
|
231 |
171 |
$5K |
| 77080 |
|
140 |
97 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
40 |
28 |
$2K |
| 76376 |
|
80 |
77 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
54 |
40 |
$853.68 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$612.10 |
| 71045 |
Radiologic examination, chest; single view |
35 |
25 |
$459.77 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
13 |
$52.70 |