| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
140 |
136 |
$12K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
65 |
65 |
$6K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
50 |
37 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
136 |
134 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
16 |
15 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
34 |
26 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
48 |
48 |
$1K |
| 76801 |
|
12 |
12 |
$1K |
| 73030 |
|
20 |
14 |
$196.29 |