| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,339 |
1,046 |
$89K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,203 |
967 |
$25K |
| 76641 |
|
267 |
213 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
572 |
368 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
26 |
26 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
52 |
13 |
$486.26 |
| 72100 |
|
14 |
12 |
$246.12 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
46 |
13 |
$205.02 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
43 |
13 |
$0.00 |