| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
178 |
151 |
$14K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
179 |
152 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
29 |
26 |
$6K |
| 76642 |
|
32 |
27 |
$2K |
| 76801 |
|
21 |
16 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
21 |
16 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
40 |
$558.02 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$487.13 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
18 |
18 |
$145.96 |