| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,203 |
1,181 |
$132K |
| 71046 |
Radiologic examination, chest; 2 views |
1,556 |
1,451 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
141 |
133 |
$30K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
138 |
129 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
295 |
292 |
$14K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
157 |
148 |
$13K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
80 |
78 |
$13K |
| 76830 |
Ultrasound, transvaginal |
89 |
85 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
800 |
710 |
$7K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
224 |
218 |
$6K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
39 |
$3K |
| 74018 |
|
85 |
81 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
27 |
24 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$1K |
| 71250 |
|
13 |
12 |
$1K |
| 72110 |
|
30 |
29 |
$994.20 |
| 76536 |
|
15 |
15 |
$993.39 |
| 77080 |
|
17 |
17 |
$472.49 |
| 82565 |
|
12 |
12 |
$46.64 |