| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
221 |
173 |
$110K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
350 |
340 |
$38K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
195 |
184 |
$20K |
| 76830 |
Ultrasound, transvaginal |
141 |
133 |
$15K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
353 |
341 |
$15K |
| 72110 |
|
383 |
365 |
$12K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
64 |
61 |
$11K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
781 |
618 |
$6K |
| 76770 |
|
53 |
52 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
245 |
220 |
$2K |
| 77080 |
|
96 |
93 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
16 |
14 |
$1K |
| 72050 |
|
43 |
40 |
$1K |
| 76642 |
|
15 |
14 |
$876.97 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
14 |
$303.73 |