| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,753 |
2,651 |
$266K |
| 93975 |
|
72 |
57 |
$15K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
32 |
25 |
$7K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
49 |
42 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
13 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
15 |
14 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
16 |
12 |
$783.09 |
| 76830 |
Ultrasound, transvaginal |
16 |
12 |
$742.74 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,877 |
2,552 |
$42.85 |