| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,233 |
355 |
$32K |
| 76830 |
Ultrasound, transvaginal |
1,507 |
151 |
$30K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,163 |
122 |
$25K |
| 76770 |
|
823 |
91 |
$17K |
| 76641 |
|
770 |
255 |
$17K |
| 77066 |
Tomosynthesis, mammo |
463 |
144 |
$16K |
| 76536 |
|
310 |
127 |
$8K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
330 |
39 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
189 |
13 |
$5K |
| 72100 |
|
825 |
77 |
$5K |
| 77080 |
|
605 |
82 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
92 |
16 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
169 |
13 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
480 |
55 |
$2K |
| 73560 |
|
265 |
25 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
279 |
30 |
$1K |
| 77065 |
Tomosynthesis, mammo |
34 |
15 |
$1K |
| 73030 |
|
199 |
15 |
$802.85 |
| 72040 |
|
101 |
13 |
$624.75 |
| 74018 |
|
65 |
13 |
$323.19 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
17 |
17 |
$0.00 |
| 3342F |
|
35 |
31 |
$0.00 |
| 7025F |
|
41 |
36 |
$0.00 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
14 |
14 |
$0.00 |