| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
700 |
598 |
$51K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
88 |
73 |
$40K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
135 |
127 |
$30K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
100 |
87 |
$27K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
205 |
190 |
$7K |
| 76642 |
|
70 |
54 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
297 |
255 |
$3K |
| 71271 |
|
32 |
30 |
$3K |
| 76830 |
Ultrasound, transvaginal |
29 |
25 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
16 |
12 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$978.84 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$896.77 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
21 |
12 |
$364.75 |