| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,606 |
2,439 |
$231K |
| 76830 |
Ultrasound, transvaginal |
1,510 |
1,399 |
$87K |
| 76642 |
|
1,760 |
1,284 |
$82K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,120 |
1,018 |
$57K |
| 71046 |
Radiologic examination, chest; 2 views |
3,556 |
3,267 |
$56K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,454 |
1,384 |
$54K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
473 |
434 |
$31K |
| 73562 |
|
701 |
516 |
$12K |
| 77066 |
Tomosynthesis, mammo |
57 |
49 |
$5K |
| 76770 |
|
107 |
99 |
$4K |
| 72100 |
|
242 |
227 |
$3K |
| 73630 |
|
182 |
148 |
$3K |
| 73030 |
|
110 |
90 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
44 |
41 |
$2K |
| 72081 |
|
56 |
48 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
14 |
$1K |
| 76857 |
|
25 |
25 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
13 |
$1K |
| 73610 |
|
61 |
53 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$977.34 |
| 77065 |
Tomosynthesis, mammo |
20 |
18 |
$949.50 |
| 71045 |
Radiologic examination, chest; single view |
91 |
85 |
$705.10 |
| 72040 |
|
25 |
25 |
$548.46 |
| 76536 |
|
13 |
13 |
$528.68 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$378.97 |
| 72110 |
|
14 |
12 |
$270.48 |
| 74018 |
|
12 |
12 |
$234.60 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
44 |
39 |
$166.18 |
| 77062 |
|
15 |
12 |
$0.00 |