| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,504 |
1,504 |
$93K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,215 |
1,213 |
$64K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,155 |
1,154 |
$46K |
| 76830 |
Ultrasound, transvaginal |
730 |
728 |
$30K |
| 76641 |
|
178 |
174 |
$20K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
265 |
262 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
1,166 |
1,159 |
$18K |
| 72100 |
|
499 |
498 |
$11K |
| 76770 |
|
217 |
217 |
$9K |
| 77080 |
|
515 |
514 |
$9K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
108 |
57 |
$8K |
| 73562 |
|
426 |
325 |
$7K |
| 76536 |
|
171 |
171 |
$6K |
| 71250 |
|
40 |
40 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
51 |
27 |
$3K |
| 73030 |
|
136 |
122 |
$2K |
| 73630 |
|
123 |
94 |
$2K |
| 93970 |
|
12 |
12 |
$2K |
| 72040 |
|
92 |
92 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
28 |
28 |
$1K |
| 73610 |
|
16 |
14 |
$267.84 |
| 73130 |
|
17 |
12 |
$232.98 |
| R0075 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
16 |
16 |
$0.00 |