| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
867 |
744 |
$201K |
| 72141 |
|
251 |
216 |
$60K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
187 |
154 |
$33K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
283 |
128 |
$29K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
53 |
51 |
$26K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
242 |
221 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
280 |
126 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
328 |
266 |
$7K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$4K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
39 |
39 |
$3K |
| 73221 |
|
15 |
14 |
$3K |
| 77080 |
|
49 |
39 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
208 |
171 |
$2K |
| 72100 |
|
71 |
63 |
$2K |
| 76830 |
Ultrasound, transvaginal |
14 |
13 |
$1K |
| 73030 |
|
17 |
13 |
$243.84 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
275 |
267 |
$193.25 |