| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,213 |
4,209 |
$285K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,425 |
4,417 |
$184K |
| 76641 |
|
3,102 |
2,326 |
$165K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
702 |
672 |
$117K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
751 |
750 |
$114K |
| 71250 |
|
1,583 |
1,579 |
$112K |
| 71046 |
Radiologic examination, chest; 2 views |
4,176 |
4,154 |
$53K |
| 76536 |
|
1,032 |
1,028 |
$37K |
| 77066 |
Tomosynthesis, mammo |
226 |
226 |
$31K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
929 |
928 |
$30K |
| 70450 |
Computed tomography, head or brain; without contrast material |
318 |
317 |
$22K |
| 72110 |
|
1,055 |
1,054 |
$20K |
| 72141 |
|
112 |
112 |
$19K |
| 73562 |
|
1,294 |
1,289 |
$17K |
| 73221 |
|
106 |
102 |
$13K |
| 76770 |
|
353 |
351 |
$11K |
| 77080 |
|
384 |
383 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
37 |
37 |
$4K |
| 73630 |
|
346 |
338 |
$4K |
| 74178 |
|
24 |
24 |
$3K |
| 73030 |
|
264 |
262 |
$3K |
| 76830 |
Ultrasound, transvaginal |
137 |
137 |
$3K |
| 72050 |
|
175 |
174 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
69 |
68 |
$2K |
| 74170 |
|
12 |
12 |
$1K |
| 77078 |
|
41 |
40 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
25 |
25 |
$1K |
| 73130 |
|
41 |
39 |
$636.23 |
| 73610 |
|
63 |
62 |
$572.82 |
| 73110 |
|
12 |
12 |
$266.47 |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
26 |
26 |
$225.72 |
| 74150 |
|
13 |
13 |
$34.29 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$14.44 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
28 |
27 |
$0.00 |
| 71271 |
|
14 |
14 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
47 |
47 |
$0.00 |