| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,950 |
2,948 |
$155K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,398 |
3,398 |
$139K |
| 76641 |
|
1,076 |
1,031 |
$73K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,664 |
1,664 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
2,436 |
2,431 |
$30K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
579 |
579 |
$19K |
| 76830 |
Ultrasound, transvaginal |
162 |
162 |
$5K |
| 76536 |
|
149 |
149 |
$5K |
| 77080 |
|
841 |
839 |
$4K |
| 71250 |
|
111 |
110 |
$3K |
| 73562 |
|
222 |
157 |
$2K |
| 76770 |
|
26 |
26 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
38 |
38 |
$2K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
37 |
37 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$585.41 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$550.42 |
| 72110 |
|
15 |
15 |
$402.50 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
42 |
41 |
$333.57 |
| 72100 |
|
12 |
12 |
$241.72 |