| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,595 |
2,544 |
$234K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,328 |
925 |
$157K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,318 |
1,301 |
$114K |
| 76641 |
|
1,000 |
861 |
$82K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
544 |
440 |
$68K |
| 71046 |
Radiologic examination, chest; 2 views |
3,191 |
3,132 |
$53K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
747 |
736 |
$50K |
| 73221 |
|
232 |
208 |
$36K |
| 76830 |
Ultrasound, transvaginal |
485 |
475 |
$30K |
| 77066 |
Tomosynthesis, mammo |
245 |
242 |
$21K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
567 |
521 |
$20K |
| 73130 |
|
909 |
548 |
$20K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
403 |
399 |
$19K |
| 73562 |
|
1,043 |
763 |
$18K |
| 74018 |
|
834 |
808 |
$18K |
| 72110 |
|
728 |
688 |
$17K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
238 |
233 |
$14K |
| 72141 |
|
115 |
99 |
$13K |
| 76642 |
|
256 |
237 |
$13K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
219 |
212 |
$12K |
| 77065 |
Tomosynthesis, mammo |
166 |
159 |
$12K |
| 71250 |
|
277 |
242 |
$11K |
| 73630 |
|
621 |
480 |
$11K |
| 73030 |
|
586 |
482 |
$9K |
| 74178 |
|
43 |
42 |
$7K |
| 19083 |
|
12 |
12 |
$7K |
| 76536 |
|
144 |
144 |
$7K |
| 72050 |
|
241 |
240 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
22 |
16 |
$6K |
| 73610 |
|
290 |
235 |
$6K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
103 |
102 |
$6K |
| 72100 |
|
205 |
203 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
49 |
49 |
$4K |
| 78226 |
|
12 |
12 |
$4K |
| 72072 |
|
190 |
188 |
$4K |
| 73110 |
|
176 |
122 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
458 |
383 |
$3K |
| 72082 |
|
63 |
63 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
32 |
32 |
$3K |
| 76770 |
|
56 |
56 |
$2K |
| 73522 |
|
103 |
100 |
$2K |
| 73502 |
|
103 |
103 |
$2K |
| 70220 |
|
110 |
109 |
$2K |
| 77080 |
|
63 |
55 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
24 |
24 |
$2K |
| 73560 |
|
66 |
47 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$653.03 |
| A9537 |
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries |
12 |
12 |
$571.56 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$493.80 |
| 72040 |
|
13 |
13 |
$347.25 |
| 3341F |
|
26 |
26 |
$0.00 |
| 7025F |
|
77 |
77 |
$0.00 |
| 3342F |
|
43 |
43 |
$0.00 |