| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,523 |
2,454 |
$254K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
412 |
392 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
1,433 |
1,327 |
$31K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
577 |
564 |
$23K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
85 |
79 |
$21K |
| 76641 |
|
253 |
195 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
48 |
39 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
131 |
121 |
$9K |
| 72100 |
|
335 |
318 |
$9K |
| 76830 |
Ultrasound, transvaginal |
100 |
91 |
$8K |
| 73562 |
|
196 |
138 |
$5K |
| 76536 |
|
57 |
52 |
$4K |
| 72141 |
|
13 |
13 |
$3K |
| 73030 |
|
100 |
81 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
210 |
184 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
88 |
79 |
$1K |
| 77080 |
|
25 |
25 |
$1K |
| 76770 |
|
12 |
12 |
$931.91 |
| 76882 |
|
25 |
16 |
$751.28 |
| 72040 |
|
28 |
27 |
$715.22 |
| 73630 |
|
14 |
13 |
$422.32 |
| 73110 |
|
14 |
12 |
$401.43 |
| 73502 |
|
13 |
12 |
$346.72 |
| 73130 |
|
14 |
12 |
$333.87 |