| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
8,600 |
8,591 |
$1.09M |
| 76641 |
|
7,697 |
6,844 |
$976K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
5,573 |
5,570 |
$596K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
6,635 |
6,631 |
$332K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,535 |
1,479 |
$317K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,447 |
1,447 |
$125K |
| 77066 |
Tomosynthesis, mammo |
756 |
754 |
$112K |
| 73564 |
|
2,166 |
1,886 |
$99K |
| 71046 |
Radiologic examination, chest; 2 views |
3,155 |
3,145 |
$93K |
| 76536 |
|
684 |
667 |
$78K |
| 76830 |
Ultrasound, transvaginal |
493 |
491 |
$58K |
| 73221 |
|
282 |
276 |
$56K |
| 72110 |
|
1,094 |
1,091 |
$50K |
| 73562 |
|
1,102 |
996 |
$49K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
257 |
256 |
$46K |
| 74178 |
|
137 |
137 |
$44K |
| 77080 |
|
936 |
935 |
$36K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
193 |
193 |
$34K |
| 73030 |
|
1,014 |
965 |
$31K |
| 77065 |
Tomosynthesis, mammo |
220 |
218 |
$26K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,639 |
1,494 |
$17K |
| 71250 |
|
144 |
144 |
$12K |
| 72082 |
|
170 |
168 |
$12K |
| 73130 |
|
311 |
291 |
$11K |
| 72050 |
|
207 |
207 |
$10K |
| 76642 |
|
84 |
84 |
$8K |
| 77062 |
|
65 |
65 |
$5K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
242 |
237 |
$5K |
| 76770 |
|
39 |
39 |
$4K |
| 91200 |
|
171 |
171 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
105 |
104 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$3K |
| 72100 |
|
70 |
70 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
15 |
15 |
$2K |
| 73110 |
|
41 |
37 |
$2K |
| 77061 |
|
12 |
12 |
$1K |
| 73610 |
|
25 |
24 |
$1K |
| 73502 |
|
12 |
12 |
$565.95 |
| 72114 |
|
13 |
13 |
$473.04 |
| 73630 |
|
12 |
12 |
$445.57 |
| 72070 |
|
13 |
13 |
$433.45 |
| 77072 |
|
13 |
13 |
$119.34 |