| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,170 |
1,902 |
$134K |
| 76641 |
|
1,067 |
825 |
$71K |
| 71046 |
Radiologic examination, chest; 2 views |
2,287 |
1,904 |
$34K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
804 |
618 |
$31K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
421 |
373 |
$25K |
| 76830 |
Ultrasound, transvaginal |
482 |
356 |
$24K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
78 |
63 |
$11K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
94 |
84 |
$8K |
| 76536 |
|
25 |
13 |
$761.12 |
| 74018 |
|
12 |
12 |
$359.34 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
162 |
92 |
$36.30 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
12 |
$3.38 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15 |
15 |
$0.00 |