| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,135 |
2,135 |
$184K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
410 |
409 |
$96K |
| 76641 |
|
1,240 |
959 |
$94K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
295 |
265 |
$70K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
232 |
232 |
$57K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
649 |
643 |
$55K |
| 93978 |
|
278 |
274 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
1,389 |
1,384 |
$26K |
| 72141 |
|
73 |
73 |
$22K |
| 93976 |
|
185 |
177 |
$19K |
| 76830 |
Ultrasound, transvaginal |
271 |
267 |
$18K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
238 |
234 |
$15K |
| 77080 |
|
347 |
343 |
$14K |
| 73630 |
|
618 |
543 |
$13K |
| 76536 |
|
109 |
107 |
$7K |
| 72100 |
|
328 |
326 |
$7K |
| 73560 |
|
287 |
261 |
$6K |
| 77065 |
Tomosynthesis, mammo |
50 |
49 |
$4K |
| 73221 |
|
13 |
13 |
$4K |
| 76857 |
|
32 |
30 |
$2K |
| 76642 |
|
27 |
23 |
$2K |
| 77066 |
Tomosynthesis, mammo |
14 |
13 |
$1K |
| 76770 |
|
16 |
15 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
134 |
133 |
$745.56 |
| 73610 |
|
28 |
25 |
$408.96 |
| 73030 |
|
16 |
16 |
$346.23 |
| 77072 |
|
12 |
12 |
$173.61 |
| 82565 |
|
12 |
12 |
$48.40 |
| 7025F |
|
159 |
159 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
14 |
14 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
33 |
33 |
$0.00 |
| 3342F |
|
130 |
130 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
89 |
87 |
$0.00 |