| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
630 |
615 |
$53K |
| 71046 |
Radiologic examination, chest; 2 views |
583 |
538 |
$10K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
126 |
116 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
35 |
33 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
12 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
82 |
74 |
$550.76 |
| 73030 |
|
18 |
14 |
$369.03 |
| 72100 |
|
15 |
15 |
$343.61 |
| 73630 |
|
39 |
24 |
$335.82 |
| 77086 |
|
17 |
17 |
$242.33 |