DIAGNOSTIC IMAGING SERVICES, LLC

$1.07M

Total Medicaid Paid

28,465

Total Claims

25,961

Beneficiaries

52

Codes Billed

2018-01

First Month

2024-12

Last Month

Code	Description	Claims	Beneficiaries	Total Paid
77067		2,731	2,607	$302K
71046		7,236	6,699	$141K
73721		438	406	$96K
G9637	Doc >1 dose reduc tech	2,482	2,131	$51K
74018		1,914	1,752	$43K
77063		1,155	1,074	$31K
76805		263	255	$30K
71250		637	587	$30K
Q9967	Locm 300-399mg/ml iodine,1ml	1,571	1,465	$27K
73630		1,174	1,062	$27K
72110		680	638	$27K
72148		226	215	$24K
73130		964	821	$22K
76856		217	204	$19K
A9575	Inj gadoterate meglumi 0.1ml	677	548	$19K
76830		180	170	$18K
74177		167	160	$16K
73610		617	550	$15K
73030		662	580	$14K
73564		460	395	$14K
G9551	Imag no les	1,361	1,178	$11K
72100		385	360	$11K
G9557	Ct/cta/mri/a no thyr <1.0cm	707	669	$8K
72050		216	200	$8K
76536		75	68	$6K
73221		39	38	$6K
76642		88	80	$6K
74176		77	65	$5K
76705		110	101	$4K
73110		161	145	$4K
74246		48	40	$4K
73502		112	106	$4K
70551		14	14	$3K
93975		13	12	$3K
72072		95	91	$3K
71260		39	37	$3K
72081		70	69	$2K
76641		26	12	$2K
72040		54	54	$2K
76770		44	43	$2K
77066	Tomosynthesis, mammo	13	12	$1K
72114		27	25	$1K
73562		48	42	$1K
93971		13	12	$1K
76816		12	12	$1K
77080		12	12	$527.55
G0279	Tomosynthesis, mammo	12	12	$302.65
G9321	Prev ct nuc med cnt doc 12mo	23	19	$215.63
77062		13	12	$48.19
G9500	Rad expos ind/exp tm doc	33	31	$3.56
7025F		59	59	$0.00
70553		15	12	$0.00

Medicaid Provider Spending