| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
7,923 |
6,384 |
$297K |
| 76641 |
|
2,396 |
1,595 |
$106K |
| 71046 |
Radiologic examination, chest; 2 views |
7,767 |
5,622 |
$35K |
| 71250 |
|
1,776 |
1,162 |
$31K |
| 76536 |
|
926 |
585 |
$17K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
688 |
432 |
$15K |
| 76830 |
Ultrasound, transvaginal |
324 |
260 |
$12K |
| 77080 |
|
2,386 |
1,711 |
$11K |
| 77066 |
Tomosynthesis, mammo |
246 |
188 |
$11K |
| 93000 |
|
802 |
526 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
144 |
69 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
167 |
106 |
$2K |
| 72100 |
|
434 |
322 |
$2K |
| 76775 |
|
191 |
126 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
57 |
42 |
$961.45 |
| 93970 |
|
36 |
24 |
$909.20 |
| 70450 |
Computed tomography, head or brain; without contrast material |
54 |
38 |
$742.00 |
| 73560 |
|
136 |
65 |
$447.74 |
| 72040 |
|
36 |
33 |
$181.63 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
247 |
174 |
$6.61 |
| 77085 |
|
79 |
75 |
$0.00 |
| 73030 |
|
30 |
12 |
$0.00 |