| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,263 |
1,262 |
$111K |
| 76641 |
|
1,330 |
860 |
$97K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,157 |
1,150 |
$86K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
268 |
268 |
$61K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
721 |
716 |
$40K |
| 76830 |
Ultrasound, transvaginal |
509 |
507 |
$32K |
| 76642 |
|
158 |
154 |
$12K |
| 93886 |
|
92 |
92 |
$11K |
| 93890 |
|
92 |
92 |
$10K |
| 76536 |
|
159 |
159 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
439 |
438 |
$9K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
37 |
37 |
$9K |
| 93892 |
|
68 |
68 |
$7K |
| 76770 |
|
76 |
76 |
$5K |
| 93922 |
|
92 |
92 |
$3K |
| 95923 |
|
60 |
60 |
$3K |
| 95943 |
|
62 |
62 |
$3K |
| 93976 |
|
45 |
45 |
$2K |
| 93970 |
|
13 |
13 |
$2K |
| 93925 |
|
12 |
12 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
47 |
47 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$886.53 |
| 72110 |
|
12 |
12 |
$397.50 |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
13 |
12 |
$285.86 |
| 77080 |
|
13 |
13 |
$284.74 |
| 93923 |
|
18 |
16 |
$244.36 |
| Q0092 |
Set-up portable x-ray equipment |
14 |
13 |
$224.29 |