| Code | Description | Claims | Beneficiaries | Total Paid |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
108 |
95 |
$35K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
67 |
51 |
$13K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
118 |
97 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
173 |
140 |
$3K |
| 76770 |
|
82 |
74 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
86 |
70 |
$2K |
| 76830 |
Ultrasound, transvaginal |
28 |
24 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
13 |
$889.11 |