| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
434 |
407 |
$74K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
90 |
87 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
137 |
137 |
$12K |
| 73221 |
|
25 |
25 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
12 |
12 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
24 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
13 |
13 |
$2K |
| 76376 |
|
87 |
84 |
$1K |
| 76536 |
|
12 |
12 |
$960.29 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$817.92 |
| 71046 |
Radiologic examination, chest; 2 views |
38 |
38 |
$774.68 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
24 |
24 |
$611.48 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
137 |
137 |
$0.00 |