| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
152 |
141 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
304 |
292 |
$24K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
186 |
170 |
$23K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
158 |
148 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
224 |
213 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
13 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
133 |
110 |
$2K |
| 72141 |
|
12 |
12 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
108 |
101 |
$959.66 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
50 |
43 |
$68.34 |