| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
306 |
277 |
$20K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
94 |
89 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
388 |
355 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
267 |
245 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
19 |
17 |
$2K |
| 71250 |
|
37 |
25 |
$2K |
| 73130 |
|
26 |
12 |
$410.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
18 |
13 |
$191.20 |