| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,218 |
1,991 |
$93K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,097 |
1,852 |
$34K |
| 76641 |
|
307 |
248 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,026 |
888 |
$11K |
| 93975 |
|
453 |
256 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
307 |
238 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
487 |
294 |
$8K |
| 76830 |
Ultrasound, transvaginal |
247 |
147 |
$7K |
| 77080 |
|
515 |
461 |
$5K |
| 76981 |
|
187 |
140 |
$4K |
| 73564 |
|
267 |
191 |
$3K |
| 77066 |
Tomosynthesis, mammo |
48 |
38 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
43 |
36 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
120 |
96 |
$2K |
| 72100 |
|
188 |
166 |
$2K |
| 72110 |
|
207 |
145 |
$2K |
| 73630 |
|
149 |
125 |
$2K |
| 76982 |
|
67 |
52 |
$2K |
| 76536 |
|
16 |
12 |
$387.72 |
| 73030 |
|
32 |
24 |
$297.92 |
| 72040 |
|
14 |
12 |
$105.00 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
44 |
24 |
$33.10 |