| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
353 |
352 |
$29K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
80 |
78 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
273 |
264 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
33 |
32 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
47 |
42 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
71 |
70 |
$2K |
| 73562 |
|
96 |
70 |
$2K |
| 72100 |
|
66 |
65 |
$1K |
| 72141 |
|
13 |
12 |
$1K |
| 76642 |
|
14 |
14 |
$771.52 |
| 72040 |
|
14 |
14 |
$325.78 |
| 73030 |
|
18 |
15 |
$320.28 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
32 |
30 |
$261.83 |