| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,132 |
3,118 |
$327K |
| 76641 |
|
1,634 |
1,155 |
$108K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,104 |
2,092 |
$81K |
| 76830 |
Ultrasound, transvaginal |
645 |
643 |
$65K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
596 |
594 |
$51K |
| 77065 |
Tomosynthesis, mammo |
234 |
227 |
$30K |
| 76642 |
|
367 |
332 |
$27K |
| 77066 |
Tomosynthesis, mammo |
150 |
146 |
$23K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
128 |
128 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
304 |
301 |
$8K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
121 |
118 |
$6K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
12 |
12 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$3K |
| 73630 |
|
112 |
95 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
63 |
60 |
$931.03 |
| 74740 |
|
12 |
12 |
$566.18 |
| 77080 |
|
13 |
13 |
$478.01 |
| 73030 |
|
17 |
15 |
$363.09 |