| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,498 |
1,498 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
5,009 |
4,976 |
$42K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,491 |
1,491 |
$35K |
| 71045 |
Radiologic examination, chest; single view |
4,478 |
4,259 |
$31K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
206 |
205 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
490 |
477 |
$11K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
217 |
217 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
211 |
211 |
$9K |
| 76830 |
Ultrasound, transvaginal |
418 |
417 |
$9K |
| 73564 |
|
851 |
830 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
159 |
159 |
$6K |
| 73610 |
|
1,012 |
1,003 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
322 |
319 |
$5K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
76 |
76 |
$5K |
| 73630 |
|
753 |
734 |
$4K |
| 73030 |
|
309 |
303 |
$2K |
| 73110 |
|
286 |
278 |
$2K |
| 73130 |
|
137 |
135 |
$843.57 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$759.63 |
| 72110 |
|
42 |
42 |
$381.30 |
| 71250 |
|
12 |
12 |
$317.40 |
| 76000 |
|
60 |
58 |
$313.46 |
| 76642 |
|
12 |
12 |
$293.55 |
| 74018 |
|
26 |
25 |
$187.38 |