| Code | Description | Claims | Beneficiaries | Total Paid |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
810 |
718 |
$101K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
804 |
762 |
$68K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
949 |
867 |
$60K |
| 72141 |
|
171 |
157 |
$11K |
| 76775 |
|
327 |
314 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
477 |
420 |
$8K |
| 73221 |
|
56 |
48 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
632 |
390 |
$4K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
94 |
80 |
$2K |
| 76770 |
|
28 |
25 |
$1K |
| 74178 |
|
13 |
12 |
$890.45 |
| 93880 |
|
19 |
14 |
$764.46 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
44 |
37 |
$630.69 |
| 72100 |
|
16 |
13 |
$121.60 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
657 |
618 |
$64.51 |
| 76376 |
|
36 |
27 |
$4.32 |