| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
438 |
359 |
$54K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
106 |
106 |
$22K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
154 |
150 |
$5K |
| 73221 |
|
25 |
25 |
$5K |
| 76641 |
|
119 |
112 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
124 |
112 |
$2K |
| 74178 |
|
13 |
12 |
$1K |
| 73718 |
|
27 |
13 |
$875.05 |
| 71250 |
|
12 |
12 |
$668.00 |
| 71046 |
Radiologic examination, chest; 2 views |
220 |
216 |
$583.26 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
21 |
12 |
$502.29 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$207.72 |
| 73562 |
|
28 |
24 |
$181.11 |
| 76536 |
|
15 |
12 |
$60.00 |
| 72100 |
|
15 |
15 |
$13.20 |