| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,960 |
2,375 |
$242K |
| 76641 |
|
1,300 |
1,034 |
$67K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
229 |
162 |
$27K |
| 77066 |
Tomosynthesis, mammo |
298 |
231 |
$22K |
| 76536 |
|
384 |
302 |
$19K |
| 72100 |
|
635 |
481 |
$11K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
60 |
40 |
$8K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
118 |
94 |
$7K |
| 77080 |
|
328 |
257 |
$6K |
| 72040 |
|
216 |
147 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
269 |
198 |
$4K |
| 76830 |
Ultrasound, transvaginal |
39 |
34 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
29 |
12 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
47 |
31 |
$447.18 |
| 73560 |
|
28 |
24 |
$433.60 |
| 74018 |
|
13 |
13 |
$127.90 |