| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,453 |
2,453 |
$247K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,949 |
1,947 |
$197K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
528 |
503 |
$130K |
| 76641 |
|
1,901 |
1,185 |
$107K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
301 |
301 |
$76K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,620 |
1,620 |
$65K |
| 71046 |
Radiologic examination, chest; 2 views |
1,648 |
1,642 |
$36K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
456 |
451 |
$33K |
| 73221 |
|
132 |
128 |
$27K |
| 76830 |
Ultrasound, transvaginal |
310 |
303 |
$26K |
| 76536 |
|
303 |
303 |
$25K |
| 77066 |
Tomosynthesis, mammo |
160 |
160 |
$19K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
197 |
197 |
$13K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
39 |
39 |
$11K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
27 |
27 |
$11K |
| 72141 |
|
28 |
28 |
$7K |
| 77062 |
|
99 |
99 |
$7K |
| 72100 |
|
264 |
264 |
$6K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
119 |
118 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$2K |
| 71250 |
|
14 |
14 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
194 |
193 |
$2K |
| 73560 |
|
91 |
67 |
$2K |
| 76770 |
|
12 |
12 |
$1K |
| 73630 |
|
12 |
12 |
$321.62 |
| 82565 |
|
14 |
14 |
$59.19 |
| 99080 |
|
50 |
33 |
$0.00 |