| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
594 |
573 |
$87K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
402 |
394 |
$28K |
| 71046 |
Radiologic examination, chest; 2 views |
585 |
553 |
$8K |
| 72141 |
|
57 |
55 |
$6K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
26 |
25 |
$4K |
| 72110 |
|
110 |
107 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
24 |
24 |
$1K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
49 |
27 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
39 |
37 |
$576.47 |
| 73030 |
|
44 |
40 |
$411.49 |
| 73564 |
|
18 |
17 |
$410.31 |
| 71045 |
Radiologic examination, chest; single view |
179 |
152 |
$371.61 |
| 72050 |
|
12 |
12 |
$174.93 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
76 |
75 |
$143.07 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
32 |
13 |
$67.48 |