| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,813 |
1,799 |
$133K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
940 |
801 |
$59K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
487 |
449 |
$58K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
652 |
641 |
$42K |
| 70486 |
|
237 |
230 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
396 |
396 |
$12K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
475 |
462 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
99 |
98 |
$6K |
| 95886 |
|
66 |
66 |
$6K |
| 76536 |
|
73 |
73 |
$5K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
243 |
243 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
29 |
29 |
$4K |
| Q9957 |
Injection, perflutren lipid microspheres, per ml |
69 |
69 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
62 |
61 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
26 |
26 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
149 |
146 |
$3K |
| 76641 |
|
44 |
29 |
$3K |
| 76830 |
Ultrasound, transvaginal |
14 |
14 |
$838.62 |
| 71250 |
|
12 |
12 |
$833.46 |
| 76775 |
|
27 |
26 |
$817.90 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$684.27 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
84 |
81 |
$480.11 |