| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
125 |
125 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
166 |
166 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
304 |
303 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
31 |
31 |
$2K |
| 76641 |
|
24 |
14 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
12 |
$1K |
| 71250 |
|
14 |
14 |
$1K |
| 77080 |
|
12 |
12 |
$455.54 |
| 76536 |
|
12 |
12 |
$384.22 |