| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,085 |
1,006 |
$51K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
157 |
143 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
870 |
779 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
178 |
168 |
$11K |
| 76641 |
|
256 |
224 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
107 |
103 |
$6K |
| 76830 |
Ultrasound, transvaginal |
92 |
88 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
128 |
120 |
$5K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
60 |
58 |
$3K |
| 76536 |
|
43 |
39 |
$2K |
| 77066 |
Tomosynthesis, mammo |
36 |
29 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
12 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
222 |
209 |
$2K |
| 72141 |
|
14 |
13 |
$1K |
| 76801 |
|
32 |
28 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
15 |
13 |
$1K |
| 72110 |
|
45 |
36 |
$830.62 |
| 74018 |
|
25 |
24 |
$432.69 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
17 |
12 |
$388.32 |
| 72050 |
|
13 |
13 |
$317.30 |
| 73630 |
|
15 |
12 |
$263.09 |
| 73562 |
|
19 |
14 |
$189.55 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
17 |
13 |
$0.00 |