| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,747 |
4,741 |
$341K |
| 76642 |
|
1,754 |
1,476 |
$78K |
| 77065 |
Tomosynthesis, mammo |
855 |
820 |
$54K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
775 |
771 |
$48K |
| 76830 |
Ultrasound, transvaginal |
554 |
553 |
$36K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
580 |
575 |
$33K |
| 71046 |
Radiologic examination, chest; 2 views |
2,370 |
2,348 |
$28K |
| 77066 |
Tomosynthesis, mammo |
276 |
260 |
$22K |
| 72110 |
|
1,067 |
1,062 |
$18K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
602 |
602 |
$18K |
| 76775 |
|
269 |
267 |
$7K |
| 74018 |
|
472 |
456 |
$7K |
| 73562 |
|
553 |
448 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
91 |
91 |
$4K |
| 72050 |
|
174 |
171 |
$4K |
| 73030 |
|
386 |
355 |
$3K |
| 76641 |
|
24 |
15 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
132 |
130 |
$1K |
| 73630 |
|
141 |
112 |
$860.63 |
| 73130 |
|
37 |
27 |
$489.89 |
| 72100 |
|
49 |
49 |
$432.98 |
| 73502 |
|
28 |
28 |
$364.49 |
| 73110 |
|
21 |
12 |
$351.20 |
| 72070 |
|
13 |
13 |
$120.01 |
| 7025F |
|
259 |
259 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
38 |
36 |
$0.00 |
| 99072 |
|
1,304 |
1,198 |
$0.00 |