| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
195 |
191 |
$17K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
24 |
24 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
182 |
178 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
168 |
165 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
13 |
$2K |
| 76536 |
|
12 |
12 |
$630.28 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
31 |
28 |
$310.59 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
163 |
154 |
$0.00 |