| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,061 |
1,038 |
$69K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,050 |
1,027 |
$29K |
| 76830 |
Ultrasound, transvaginal |
367 |
360 |
$21K |
| 77066 |
Tomosynthesis, mammo |
223 |
219 |
$18K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
125 |
112 |
$17K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
238 |
234 |
$16K |
| 76641 |
|
274 |
170 |
$16K |
| 77062 |
|
176 |
175 |
$14K |
| 76642 |
|
284 |
247 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
354 |
350 |
$13K |
| 93975 |
|
59 |
58 |
$12K |
| 76536 |
|
164 |
155 |
$10K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
61 |
60 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
785 |
697 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
28 |
28 |
$5K |
| 76770 |
|
72 |
70 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
83 |
76 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
63 |
63 |
$3K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
15 |
15 |
$3K |
| 72082 |
|
41 |
41 |
$3K |
| 73221 |
|
17 |
17 |
$3K |
| 77065 |
Tomosynthesis, mammo |
29 |
28 |
$2K |
| 77080 |
|
82 |
78 |
$807.15 |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$683.64 |
| 77072 |
|
13 |
13 |
$332.41 |
| 73562 |
|
16 |
13 |
$313.60 |
| 73030 |
|
36 |
26 |
$254.56 |
| 72100 |
|
57 |
49 |
$252.36 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
84 |
67 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
48 |
32 |
$0.00 |
| 73630 |
|
18 |
13 |
$0.00 |