| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,901 |
3,015 |
$154K |
| 76830 |
Ultrasound, transvaginal |
1,480 |
1,225 |
$75K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,403 |
1,214 |
$69K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
654 |
492 |
$46K |
| 76641 |
|
1,130 |
684 |
$39K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
914 |
760 |
$39K |
| 76536 |
|
1,017 |
778 |
$36K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,237 |
979 |
$25K |
| 71046 |
Radiologic examination, chest; 2 views |
2,151 |
1,763 |
$22K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
808 |
596 |
$22K |
| 76801 |
|
290 |
281 |
$15K |
| 72100 |
|
1,304 |
1,010 |
$15K |
| 77066 |
Tomosynthesis, mammo |
294 |
179 |
$14K |
| 76642 |
|
409 |
307 |
$10K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
108 |
86 |
$10K |
| 76770 |
|
216 |
199 |
$9K |
| 72141 |
|
94 |
91 |
$9K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
119 |
63 |
$7K |
| 73562 |
|
392 |
299 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
738 |
551 |
$5K |
| 72040 |
|
432 |
350 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
28 |
25 |
$4K |
| 70360 |
|
400 |
313 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
82 |
79 |
$3K |
| 72082 |
|
96 |
95 |
$3K |
| 74018 |
|
301 |
220 |
$2K |
| 73030 |
|
214 |
180 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
53 |
51 |
$2K |
| 73630 |
|
189 |
113 |
$1K |
| 77080 |
|
62 |
54 |
$1K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
20 |
20 |
$1K |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$755.18 |
| 73130 |
|
70 |
37 |
$596.24 |
| 73502 |
|
65 |
27 |
$461.72 |
| 73610 |
|
17 |
12 |
$197.87 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
104 |
85 |
$153.41 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
131 |
101 |
$80.57 |