| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,024 |
1,021 |
$126K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
839 |
837 |
$41K |
| 71250 |
|
243 |
241 |
$31K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
570 |
564 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
1,359 |
1,341 |
$28K |
| 76830 |
Ultrasound, transvaginal |
399 |
391 |
$23K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
104 |
99 |
$19K |
| 76641 |
|
219 |
169 |
$19K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
138 |
132 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,195 |
1,062 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
44 |
39 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
201 |
200 |
$9K |
| 76801 |
|
110 |
108 |
$9K |
| 73630 |
|
353 |
285 |
$7K |
| 73564 |
|
230 |
171 |
$5K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
70 |
70 |
$4K |
| 72141 |
|
14 |
13 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
82 |
80 |
$4K |
| 77065 |
Tomosynthesis, mammo |
32 |
29 |
$4K |
| 72100 |
|
93 |
92 |
$3K |
| 74178 |
|
12 |
12 |
$2K |
| 73030 |
|
127 |
111 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
28 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
288 |
282 |
$2K |
| 76770 |
|
43 |
42 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
25 |
25 |
$2K |
| 74018 |
|
202 |
142 |
$2K |
| 73620 |
|
98 |
66 |
$2K |
| 73130 |
|
51 |
38 |
$1K |
| 72110 |
|
39 |
37 |
$985.85 |
| 73610 |
|
47 |
43 |
$912.48 |