| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,822 |
1,748 |
$158K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,141 |
1,020 |
$121K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,207 |
1,205 |
$90K |
| 72141 |
|
716 |
689 |
$61K |
| 73221 |
|
457 |
419 |
$48K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
168 |
167 |
$30K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
434 |
429 |
$27K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
524 |
524 |
$16K |
| 76830 |
Ultrasound, transvaginal |
207 |
206 |
$13K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
218 |
217 |
$12K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
38 |
37 |
$4K |
| 99157 |
|
61 |
56 |
$2K |
| 99156 |
|
91 |
83 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
227 |
222 |
$1K |
| 70486 |
|
12 |
12 |
$931.92 |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
52 |
$913.77 |
| 76376 |
|
68 |
59 |
$623.76 |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
521 |
487 |
$15.87 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
64 |
58 |
$0.00 |