| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
585 |
569 |
$55K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
202 |
195 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
368 |
352 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
249 |
241 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
43 |
40 |
$4K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
85 |
83 |
$3K |
| 76641 |
|
48 |
40 |
$3K |
| 73562 |
|
14 |
13 |
$293.70 |
| 77080 |
|
12 |
12 |
$268.97 |
| 72100 |
|
12 |
12 |
$240.30 |
| 73030 |
|
17 |
12 |
$239.42 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
12 |
12 |
$89.26 |