| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,122 |
1,121 |
$76K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,119 |
1,118 |
$30K |
| 76641 |
|
295 |
265 |
$21K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
347 |
347 |
$15K |
| 76830 |
Ultrasound, transvaginal |
347 |
347 |
$15K |
| 76642 |
|
91 |
91 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
118 |
118 |
$7K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
118 |
118 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
50 |
29 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
43 |
34 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
154 |
152 |
$2K |
| 72100 |
|
114 |
114 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$2K |
| 73030 |
|
82 |
77 |
$2K |
| 72110 |
|
68 |
68 |
$1K |
| 72050 |
|
27 |
27 |
$960.00 |
| 73564 |
|
226 |
194 |
$664.80 |
| 76536 |
|
12 |
12 |
$657.14 |
| 73502 |
|
12 |
12 |
$448.19 |
| 72052 |
|
32 |
32 |
$402.48 |
| 73562 |
|
13 |
12 |
$360.06 |
| 73110 |
|
117 |
103 |
$125.70 |
| 73130 |
|
31 |
25 |
$75.42 |
| 73630 |
|
81 |
69 |
$72.66 |
| 7025F |
|
468 |
467 |
$0.00 |
| 3341F |
|
366 |
366 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
111 |
111 |
$0.00 |