| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,139 |
2,135 |
$23K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,607 |
1,605 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
976 |
968 |
$6K |
| 76641 |
|
590 |
524 |
$4K |
| 71250 |
|
592 |
583 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,484 |
1,474 |
$4K |
| 77066 |
Tomosynthesis, mammo |
166 |
164 |
$3K |
| 76830 |
Ultrasound, transvaginal |
1,015 |
1,009 |
$2K |
| 76801 |
|
347 |
344 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
230 |
229 |
$968.13 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
42 |
33 |
$445.41 |
| 77085 |
|
12 |
12 |
$402.54 |
| 73700 |
|
26 |
26 |
$353.42 |
| 77080 |
|
123 |
123 |
$275.86 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
380 |
372 |
$204.34 |
| 76642 |
|
37 |
31 |
$177.66 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
149 |
136 |
$158.38 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
41 |
40 |
$65.91 |
| 76536 |
|
38 |
37 |
$53.77 |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
228 |
175 |
$26.74 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
116 |
115 |
$0.00 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
42 |
42 |
$0.00 |
| 72141 |
|
12 |
12 |
$0.00 |
| 76981 |
|
88 |
88 |
$0.00 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$0.00 |