| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
909 |
909 |
$24K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
904 |
904 |
$9K |
| 76641 |
|
394 |
206 |
$9K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
347 |
347 |
$6K |
| 76830 |
Ultrasound, transvaginal |
347 |
347 |
$6K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
104 |
104 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
76 |
76 |
$832.00 |
| 71046 |
Radiologic examination, chest; 2 views |
148 |
147 |
$549.60 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$387.58 |
| 76536 |
|
12 |
12 |
$298.70 |
| 73130 |
|
53 |
41 |
$201.12 |
| 73030 |
|
59 |
55 |
$181.02 |
| 72100 |
|
40 |
40 |
$151.45 |
| 73630 |
|
69 |
51 |
$145.32 |
| 72050 |
|
15 |
15 |
$120.00 |
| 72110 |
|
13 |
13 |
$87.70 |
| 76642 |
|
13 |
13 |
$78.46 |
| 73562 |
|
15 |
13 |
$46.76 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
319 |
318 |
$0.00 |
| 3341F |
|
518 |
518 |
$0.00 |
| 7025F |
|
698 |
698 |
$0.00 |