| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,096 |
3,124 |
$444K |
| 76641 |
|
2,903 |
2,195 |
$385K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,984 |
1,579 |
$175K |
| 76830 |
Ultrasound, transvaginal |
1,471 |
1,092 |
$134K |
| 76536 |
|
1,602 |
1,291 |
$130K |
| 76881 |
|
1,456 |
879 |
$94K |
| 77066 |
Tomosynthesis, mammo |
543 |
331 |
$83K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
877 |
715 |
$70K |
| 71046 |
Radiologic examination, chest; 2 views |
2,313 |
1,913 |
$56K |
| 72100 |
|
1,303 |
1,095 |
$37K |
| 73560 |
|
1,376 |
726 |
$33K |
| 77080 |
|
1,075 |
959 |
$29K |
| 72084 |
|
219 |
159 |
$17K |
| 76770 |
|
182 |
132 |
$16K |
| 73030 |
|
307 |
191 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
379 |
289 |
$7K |
| 72040 |
|
191 |
178 |
$5K |
| 73620 |
|
225 |
107 |
$5K |
| 76376 |
|
102 |
12 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
14 |
12 |
$902.00 |
| 74018 |
|
27 |
26 |
$545.47 |
| 73100 |
|
18 |
12 |
$331.54 |
| 73600 |
|
13 |
12 |
$307.68 |
| 72070 |
|
14 |
12 |
$295.43 |