| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
183 |
180 |
$16K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
136 |
130 |
$10K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
75 |
66 |
$9K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
149 |
147 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
53 |
53 |
$4K |
| 76830 |
Ultrasound, transvaginal |
60 |
54 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
180 |
179 |
$4K |
| 72100 |
|
41 |
41 |
$1K |
| 76642 |
|
13 |
13 |
$934.31 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
57 |
54 |
$8.09 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
97 |
89 |
$0.00 |