| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
586 |
507 |
$108K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
564 |
471 |
$67K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,028 |
933 |
$40K |
| 72141 |
|
160 |
138 |
$20K |
| 76830 |
Ultrasound, transvaginal |
156 |
138 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
37 |
37 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
14 |
12 |
$5K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
108 |
94 |
$4K |
| 73221 |
|
27 |
26 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
246 |
222 |
$3K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
481 |
313 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
79 |
59 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
617 |
430 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
228 |
192 |
$2K |
| 76642 |
|
39 |
26 |
$1K |
| 71250 |
|
12 |
12 |
$830.51 |
| 76536 |
|
15 |
12 |
$478.77 |
| A4550 |
Surgical trays |
371 |
223 |
$16.16 |