| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,936 |
1,836 |
$247K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,855 |
2,800 |
$229K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,669 |
2,609 |
$202K |
| 76641 |
|
1,769 |
1,518 |
$122K |
| 72141 |
|
695 |
648 |
$86K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
738 |
589 |
$85K |
| 71046 |
Radiologic examination, chest; 2 views |
4,021 |
3,907 |
$76K |
| 74178 |
|
447 |
381 |
$71K |
| 76536 |
|
1,110 |
1,023 |
$68K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
978 |
951 |
$61K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
228 |
204 |
$41K |
| 71250 |
|
504 |
477 |
$37K |
| 76830 |
Ultrasound, transvaginal |
544 |
527 |
$36K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
240 |
228 |
$32K |
| 77049 |
|
132 |
126 |
$31K |
| 73562 |
|
1,237 |
1,049 |
$25K |
| 73221 |
|
184 |
156 |
$21K |
| 72100 |
|
835 |
810 |
$18K |
| 73630 |
|
925 |
827 |
$16K |
| 77066 |
Tomosynthesis, mammo |
172 |
159 |
$16K |
| 77080 |
|
935 |
886 |
$16K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
13 |
13 |
$14K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
1,723 |
1,522 |
$13K |
| 73030 |
|
792 |
696 |
$13K |
| 72110 |
|
488 |
462 |
$13K |
| 72146 |
|
96 |
88 |
$12K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,539 |
1,389 |
$7K |
| 73130 |
|
318 |
278 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
30 |
27 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
69 |
68 |
$5K |
| 93970 |
|
50 |
39 |
$5K |
| 72072 |
|
219 |
216 |
$4K |
| 76882 |
|
147 |
140 |
$4K |
| 76775 |
|
111 |
103 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
107 |
107 |
$3K |
| 72040 |
|
160 |
156 |
$3K |
| 93925 |
|
24 |
24 |
$3K |
| 72114 |
|
94 |
87 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
60 |
55 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
25 |
$3K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
13 |
13 |
$3K |
| 76770 |
|
44 |
38 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
12 |
$2K |
| 77065 |
Tomosynthesis, mammo |
27 |
26 |
$2K |
| 72195 |
|
14 |
13 |
$2K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
17 |
15 |
$2K |
| J2785 |
Injection, regadenoson, 0.1 mg |
14 |
12 |
$1K |
| 72050 |
|
57 |
55 |
$1K |
| 73610 |
|
62 |
57 |
$1K |
| 77085 |
|
42 |
41 |
$980.92 |
| 74019 |
|
42 |
41 |
$849.90 |
| 76870 |
|
12 |
12 |
$629.19 |
| 73110 |
|
30 |
27 |
$575.72 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
90 |
88 |
$548.99 |
| 73560 |
|
34 |
29 |
$511.09 |
| 72052 |
|
15 |
13 |
$427.82 |
| 93015 |
|
14 |
12 |
$336.05 |
| 73502 |
|
16 |
13 |
$312.56 |
| 51798 |
|
40 |
31 |
$241.89 |