| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
707 |
653 |
$139K |
| 73221 |
|
279 |
271 |
$48K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
274 |
237 |
$38K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
262 |
240 |
$19K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
62 |
52 |
$18K |
| 72197 |
|
69 |
68 |
$16K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
264 |
240 |
$8K |
| 72141 |
|
57 |
55 |
$7K |
| 71271 |
|
78 |
77 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
105 |
94 |
$5K |
| 76536 |
|
58 |
56 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
47 |
44 |
$3K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
850 |
733 |
$3K |
| 73200 |
|
24 |
24 |
$3K |
| 76830 |
Ultrasound, transvaginal |
32 |
30 |
$2K |
| 71250 |
|
16 |
14 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
27 |
$404.70 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
482 |
407 |
$80.50 |