| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,161 |
1,150 |
$34K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,160 |
1,149 |
$27K |
| 71046 |
Radiologic examination, chest; 2 views |
285 |
279 |
$2K |
| 76642 |
|
34 |
27 |
$929.02 |
| 93976 |
|
14 |
14 |
$749.32 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$686.89 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$491.01 |
| 73610 |
|
12 |
12 |
$96.48 |
| 71045 |
Radiologic examination, chest; single view |
12 |
12 |
$61.44 |
| 7025F |
|
296 |
296 |
$0.00 |
| 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) |
38 |
38 |
$0.00 |