| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
31 |
27 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
4,625 |
1,498 |
$793.29 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
52 |
52 |
$499.01 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$126.96 |
| 93970 |
|
13 |
12 |
$49.78 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
87 |
87 |
$26.46 |
| 3341F |
|
42 |
42 |
$0.00 |
| 7025F |
|
65 |
65 |
$0.00 |
| 93925 |
|
27 |
27 |
$0.00 |
| 77080 |
|
40 |
39 |
$0.00 |
| 75635 |
|
12 |
12 |
$0.00 |
| 93880 |
|
19 |
19 |
$0.00 |