| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,182 |
2,164 |
$164K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
774 |
770 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
586 |
512 |
$41K |
| 76830 |
Ultrasound, transvaginal |
310 |
310 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
961 |
958 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
218 |
218 |
$15K |
| 70486 |
|
212 |
211 |
$15K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
264 |
264 |
$14K |
| 76801 |
|
158 |
157 |
$11K |
| 72141 |
|
85 |
85 |
$8K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
37 |
37 |
$8K |
| 76857 |
|
201 |
201 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
50 |
50 |
$6K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
26 |
26 |
$5K |
| 95886 |
|
49 |
47 |
$4K |
| 72110 |
|
131 |
130 |
$4K |
| 76641 |
|
57 |
49 |
$3K |
| 72100 |
|
144 |
144 |
$3K |
| 73560 |
|
146 |
101 |
$3K |
| 93000 |
|
291 |
290 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
45 |
$2K |
| 73562 |
|
102 |
81 |
$2K |
| 95911 |
|
14 |
13 |
$2K |
| 93015 |
|
40 |
40 |
$1K |
| 73030 |
|
63 |
48 |
$1K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
37 |
37 |
$616.66 |
| 99072 |
|
29 |
25 |
$0.00 |