| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,021 |
871 |
$85K |
| 76830 |
Ultrasound, transvaginal |
486 |
406 |
$34K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
985 |
831 |
$33K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
522 |
438 |
$31K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
211 |
157 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
678 |
604 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
310 |
265 |
$23K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
83 |
74 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
106 |
100 |
$10K |
| 76642 |
|
191 |
149 |
$10K |
| 71250 |
|
137 |
134 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,542 |
1,107 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
677 |
509 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
53 |
51 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
28 |
$3K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
87 |
83 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$600.36 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
13 |
$135.00 |