| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,051 |
1,051 |
$32K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
866 |
866 |
$23K |
| 73221 |
|
281 |
183 |
$17K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
251 |
165 |
$15K |
| 76642 |
|
339 |
332 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
749 |
749 |
$8K |
| 76770 |
|
168 |
168 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
37 |
25 |
$2K |
| 77080 |
|
127 |
127 |
$2K |
| 77065 |
Tomosynthesis, mammo |
53 |
52 |
$2K |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$615.80 |
| 76830 |
Ultrasound, transvaginal |
29 |
29 |
$405.90 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$388.50 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
18 |
18 |
$338.25 |