| Code | Description | Claims | Beneficiaries | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
3,996 |
3,473 |
$497K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,316 |
2,970 |
$228K |
| 72141 |
|
1,103 |
938 |
$126K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,365 |
1,147 |
$112K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,580 |
2,319 |
$58K |
| 71046 |
Radiologic examination, chest; 2 views |
1,823 |
1,672 |
$35K |
| 73221 |
|
415 |
341 |
$33K |
| 72110 |
|
293 |
271 |
$6K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
274 |
131 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
43 |
37 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
750 |
322 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
42 |
38 |
$2K |
| 76642 |
|
27 |
24 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
12 |
$2K |
| 76536 |
|
30 |
29 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$1K |
| 73030 |
|
56 |
40 |
$594.92 |
| 76830 |
Ultrasound, transvaginal |
16 |
12 |
$529.31 |
| 72100 |
|
27 |
25 |
$308.27 |
| 73502 |
|
14 |
12 |
$273.61 |
| 74018 |
|
12 |
12 |
$257.58 |
| 73564 |
|
13 |
12 |
$246.72 |
| 82565 |
|
61 |
53 |
$54.41 |