| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
456 |
452 |
$40K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
59 |
56 |
$25K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
70 |
66 |
$23K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
387 |
385 |
$22K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
141 |
138 |
$17K |
| 72141 |
|
85 |
84 |
$14K |
| 76641 |
|
143 |
112 |
$12K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
53 |
42 |
$11K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
47 |
44 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
62 |
62 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
126 |
125 |
$4K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
25 |
25 |
$3K |
| 76830 |
Ultrasound, transvaginal |
24 |
24 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
70 |
$2K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
12 |
12 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$671.64 |
| 76642 |
|
13 |
13 |
$671.36 |
| 73630 |
|
23 |
16 |
$300.61 |