| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95886 |
|
769 |
376 |
$28K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
375 |
346 |
$15K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
121 |
91 |
$12K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
64 |
36 |
$11K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
45 |
25 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
82 |
73 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
257 |
182 |
$909.63 |
| 71046 |
Radiologic examination, chest; 2 views |
29 |
26 |
$218.54 |
| 72110 |
|
13 |
12 |
$175.83 |
| 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) |
70 |
62 |
$0.00 |
| 7025F |
|
265 |
253 |
$0.00 |
| 3342F |
|
46 |
44 |
$0.00 |