| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
304 |
279 |
$28K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
116 |
97 |
$25K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
70 |
64 |
$22K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
117 |
94 |
$20K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
117 |
94 |
$18K |
| 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) |
1,110 |
1,030 |
$15K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
50 |
36 |
$10K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
63 |
55 |
$9K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
47 |
36 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
98 |
85 |
$6K |
| 76536 |
|
55 |
52 |
$5K |
| 71250 |
|
32 |
25 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
214 |
185 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
48 |
44 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
702 |
471 |
$4K |
| 76830 |
Ultrasound, transvaginal |
46 |
41 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
18 |
12 |
$3K |
| 73221 |
|
14 |
13 |
$3K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
180 |
56 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
72 |
32 |
$705.60 |