| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,579 |
1,540 |
$121K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
582 |
524 |
$72K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
589 |
540 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
2,130 |
1,950 |
$38K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
270 |
232 |
$37K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
132 |
123 |
$25K |
| 73562 |
|
1,018 |
694 |
$19K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
262 |
239 |
$16K |
| 72100 |
|
764 |
681 |
$14K |
| 73221 |
|
47 |
42 |
$7K |
| 74178 |
|
32 |
31 |
$7K |
| 93976 |
|
90 |
66 |
$7K |
| 71250 |
|
82 |
75 |
$7K |
| 76536 |
|
105 |
98 |
$6K |
| 73030 |
|
405 |
313 |
$6K |
| 72141 |
|
54 |
48 |
$6K |
| 76642 |
|
139 |
111 |
$6K |
| 73630 |
|
272 |
226 |
$5K |
| 77080 |
|
357 |
319 |
$5K |
| 77066 |
Tomosynthesis, mammo |
47 |
44 |
$5K |
| 72040 |
|
227 |
201 |
$4K |
| 73130 |
|
173 |
126 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
25 |
$3K |
| 76830 |
Ultrasound, transvaginal |
44 |
40 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
357 |
321 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
44 |
39 |
$2K |
| 72072 |
|
90 |
82 |
$2K |
| 93971 |
|
36 |
28 |
$2K |
| 73502 |
|
87 |
70 |
$2K |
| 93882 |
|
21 |
15 |
$1K |
| 77065 |
Tomosynthesis, mammo |
15 |
15 |
$1K |
| 72220 |
|
60 |
58 |
$1K |
| 73610 |
|
44 |
41 |
$891.52 |
| 76770 |
|
17 |
13 |
$698.68 |
| 73110 |
|
28 |
24 |
$598.25 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
12 |
$567.15 |
| 72110 |
|
17 |
14 |
$385.75 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$321.29 |
| 76376 |
|
13 |
13 |
$141.72 |
| 77086 |
|
14 |
14 |
$139.01 |