| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
635 |
632 |
$50K |
| 76641 |
|
319 |
313 |
$44K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
522 |
520 |
$31K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
446 |
444 |
$19K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
211 |
210 |
$16K |
| 76830 |
Ultrasound, transvaginal |
309 |
307 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
575 |
573 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
138 |
66 |
$10K |
| 72100 |
|
252 |
251 |
$6K |
| 73562 |
|
299 |
222 |
$5K |
| 77066 |
Tomosynthesis, mammo |
40 |
39 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
107 |
55 |
$4K |
| 76770 |
|
98 |
98 |
$4K |
| 76536 |
|
91 |
91 |
$4K |
| 73030 |
|
176 |
149 |
$4K |
| 73630 |
|
115 |
93 |
$2K |
| 73130 |
|
89 |
67 |
$2K |
| 72040 |
|
93 |
93 |
$2K |
| 77065 |
Tomosynthesis, mammo |
27 |
27 |
$2K |
| 72141 |
|
23 |
12 |
$2K |
| 73610 |
|
27 |
25 |
$445.30 |
| 73110 |
|
22 |
18 |
$385.06 |
| 71045 |
Radiologic examination, chest; single view |
67 |
52 |
$328.00 |
| 72072 |
|
12 |
12 |
$317.45 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$303.50 |
| 73080 |
|
14 |
12 |
$259.80 |