| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18,115 |
17,073 |
$1.39M |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
9,719 |
9,130 |
$309K |
| 76642 |
|
2,797 |
2,075 |
$136K |
| 71046 |
Radiologic examination, chest; 2 views |
7,729 |
7,209 |
$130K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,633 |
1,518 |
$107K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
773 |
686 |
$93K |
| 76536 |
|
854 |
799 |
$44K |
| 72110 |
|
1,411 |
1,303 |
$37K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
542 |
517 |
$34K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
254 |
211 |
$31K |
| 73221 |
|
251 |
200 |
$30K |
| 76830 |
Ultrasound, transvaginal |
387 |
372 |
$25K |
| 73030 |
|
1,602 |
1,341 |
$25K |
| 72141 |
|
231 |
208 |
$24K |
| 73630 |
|
1,484 |
1,140 |
$23K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
42 |
42 |
$21K |
| 77066 |
Tomosynthesis, mammo |
210 |
197 |
$20K |
| 73562 |
|
882 |
650 |
$15K |
| 72100 |
|
633 |
603 |
$13K |
| 73564 |
|
467 |
329 |
$9K |
| 73502 |
|
435 |
401 |
$9K |
| 73610 |
|
312 |
262 |
$5K |
| 73130 |
|
273 |
197 |
$4K |
| 77080 |
|
91 |
88 |
$4K |
| 72040 |
|
182 |
175 |
$4K |
| 72070 |
|
97 |
91 |
$2K |
| 76641 |
|
24 |
12 |
$2K |
| 71271 |
|
13 |
12 |
$1K |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$1K |
| 73110 |
|
58 |
46 |
$976.19 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$633.50 |
| 72050 |
|
12 |
12 |
$365.97 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
286 |
170 |
$104.21 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
254 |
223 |
$0.00 |