| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,956 |
3,889 |
$198K |
| 71046 |
Radiologic examination, chest; 2 views |
9,555 |
9,341 |
$117K |
| 76830 |
Ultrasound, transvaginal |
2,270 |
2,227 |
$109K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,613 |
1,575 |
$52K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,645 |
1,611 |
$51K |
| 73630 |
|
3,482 |
3,104 |
$50K |
| 73562 |
|
2,475 |
2,100 |
$40K |
| 73130 |
|
2,438 |
2,028 |
$38K |
| 73610 |
|
2,253 |
2,177 |
$35K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,598 |
2,598 |
$35K |
| 72100 |
|
2,242 |
2,217 |
$34K |
| 73110 |
|
1,544 |
1,451 |
$28K |
| 73030 |
|
1,817 |
1,710 |
$24K |
| 74018 |
|
1,825 |
1,805 |
$21K |
| 73140 |
|
1,005 |
982 |
$18K |
| 73502 |
|
843 |
835 |
$16K |
| 72040 |
|
799 |
796 |
$12K |
| 73564 |
|
485 |
440 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
168 |
167 |
$7K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
775 |
769 |
$7K |
| 76536 |
|
135 |
135 |
$7K |
| 73080 |
|
398 |
383 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
50 |
49 |
$5K |
| 93975 |
|
48 |
48 |
$5K |
| 76770 |
|
121 |
121 |
$5K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
126 |
122 |
$4K |
| 73590 |
|
113 |
107 |
$2K |
| 73660 |
|
105 |
105 |
$1K |
| 72072 |
|
80 |
80 |
$1K |
| 72110 |
|
52 |
52 |
$1K |
| 71101 |
|
64 |
64 |
$1K |
| 72050 |
|
25 |
25 |
$557.49 |
| 77080 |
|
27 |
27 |
$420.91 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
119 |
76 |
$382.04 |
| 77085 |
|
15 |
15 |
$193.27 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
62 |
55 |
$0.00 |