| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,977 |
2,943 |
$155K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
602 |
591 |
$69K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,762 |
2,720 |
$62K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
156 |
152 |
$35K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
114 |
109 |
$24K |
| 76642 |
|
427 |
400 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
651 |
629 |
$10K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
160 |
153 |
$9K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
354 |
334 |
$8K |
| 73564 |
|
260 |
248 |
$5K |
| 76830 |
Ultrasound, transvaginal |
73 |
69 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
17 |
17 |
$3K |
| 72141 |
|
17 |
14 |
$2K |
| 76536 |
|
39 |
39 |
$1K |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$824.86 |
| 73502 |
|
27 |
26 |
$398.28 |
| 73030 |
|
30 |
26 |
$385.50 |
| 77080 |
|
13 |
13 |
$209.19 |
| 73130 |
|
13 |
12 |
$180.00 |