| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
412 |
408 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
470 |
465 |
$9K |
| 72110 |
|
225 |
224 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
25 |
23 |
$4K |
| 62323 |
|
14 |
12 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
24 |
24 |
$2K |
| 76770 |
|
13 |
13 |
$658.75 |
| 76830 |
Ultrasound, transvaginal |
15 |
15 |
$606.31 |
| 73564 |
|
33 |
24 |
$582.02 |
| 73030 |
|
55 |
53 |
$534.94 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
21 |
13 |
$451.55 |
| 72050 |
|
14 |
13 |
$296.58 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
66 |
65 |
$266.01 |
| 72072 |
|
12 |
12 |
$190.68 |
| 72100 |
|
12 |
12 |
$183.28 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
14 |
12 |
$127.26 |