| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
891 |
788 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
157 |
141 |
$14K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
74 |
58 |
$11K |
| 71250 |
|
94 |
67 |
$6K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
20 |
13 |
$1K |
| 76641 |
|
20 |
13 |
$988.04 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
167 |
127 |
$462.75 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
14 |
12 |
$433.07 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
150 |
138 |
$0.00 |
| 7025F |
|
80 |
80 |
$0.00 |