| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76536 |
|
1,781 |
1,776 |
$146K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
420 |
420 |
$61K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
335 |
335 |
$57K |
| 71046 |
Radiologic examination, chest; 2 views |
677 |
677 |
$16K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
94 |
94 |
$16K |
| 73562 |
|
296 |
270 |
$10K |
| 72141 |
|
42 |
42 |
$8K |
| 73630 |
|
206 |
181 |
$6K |
| 76641 |
|
35 |
24 |
$4K |
| 73610 |
|
84 |
79 |
$3K |
| 73030 |
|
99 |
90 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
41 |
41 |
$3K |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$1K |
| 76642 |
|
15 |
14 |
$998.24 |
| 72110 |
|
13 |
13 |
$484.26 |
| 73560 |
|
13 |
12 |
$353.24 |
| 72100 |
|
12 |
12 |
$322.65 |
| 73502 |
|
13 |
13 |
$224.89 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
18 |
13 |
$136.70 |