| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
243 |
168 |
$53K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
145 |
140 |
$7K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
20 |
12 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
60 |
53 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
16 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
71 |
62 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13 |
13 |
$349.80 |