| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
195 |
178 |
$30K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
189 |
185 |
$26K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
82 |
78 |
$18K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
225 |
205 |
$16K |
| 72141 |
|
105 |
103 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
310 |
295 |
$8K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
47 |
43 |
$6K |
| 76642 |
|
115 |
89 |
$5K |
| 77066 |
Tomosynthesis, mammo |
32 |
29 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
34 |
28 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
144 |
130 |
$2K |
| 76830 |
Ultrasound, transvaginal |
33 |
27 |
$2K |
| 73562 |
|
88 |
64 |
$2K |
| 72110 |
|
27 |
24 |
$858.37 |
| 76377 |
|
27 |
27 |
$398.47 |
| 77080 |
|
20 |
18 |
$377.66 |
| 72100 |
|
12 |
12 |
$297.32 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
34 |
27 |
$238.20 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
190 |
171 |
$148.20 |