| Code | Description | Claims | Beneficiaries | Total Paid |
| 76641 |
|
2,794 |
1,836 |
$278K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,465 |
2,464 |
$258K |
| 77066 |
Tomosynthesis, mammo |
2,051 |
1,309 |
$239K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,799 |
1,257 |
$151K |
| 76830 |
Ultrasound, transvaginal |
1,706 |
1,149 |
$149K |
| 76536 |
|
1,531 |
1,049 |
$121K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
653 |
397 |
$52K |
| 72100 |
|
1,351 |
955 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
1,379 |
1,031 |
$29K |
| 76770 |
|
347 |
210 |
$28K |
| 73560 |
|
740 |
434 |
$16K |
| 72040 |
|
423 |
277 |
$13K |
| 77080 |
|
420 |
311 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
491 |
405 |
$6K |
| 74018 |
|
275 |
216 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
15 |
$4K |
| 73030 |
|
90 |
49 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
13 |
$2K |
| 72070 |
|
76 |
40 |
$2K |
| 70210 |
|
102 |
95 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
12 |
12 |
$1K |
| 73620 |
|
52 |
37 |
$852.95 |