| Code | Description | Claims | Beneficiaries | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,661 |
2,660 |
$622K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,040 |
1,806 |
$469K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,867 |
1,866 |
$449K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,791 |
4,787 |
$416K |
| 76641 |
|
5,135 |
3,920 |
$374K |
| 72141 |
|
1,326 |
1,325 |
$301K |
| 73221 |
|
690 |
633 |
$162K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,838 |
1,836 |
$161K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,340 |
3,339 |
$117K |
| 74178 |
|
293 |
293 |
$75K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,143 |
1,143 |
$72K |
| 72197 |
|
180 |
180 |
$68K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
182 |
182 |
$65K |
| 76830 |
Ultrasound, transvaginal |
600 |
598 |
$45K |
| 71046 |
Radiologic examination, chest; 2 views |
1,951 |
1,946 |
$40K |
| 76536 |
|
408 |
405 |
$30K |
| 77065 |
Tomosynthesis, mammo |
313 |
307 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
188 |
188 |
$25K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
822 |
756 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
93 |
93 |
$22K |
| 73562 |
|
672 |
510 |
$18K |
| 72100 |
|
570 |
568 |
$14K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,137 |
1,029 |
$11K |
| 77061 |
|
228 |
224 |
$8K |
| 71250 |
|
36 |
36 |
$5K |
| 76770 |
|
47 |
47 |
$4K |
| 70486 |
|
26 |
26 |
$4K |
| 70544 |
|
12 |
12 |
$3K |
| 77066 |
Tomosynthesis, mammo |
24 |
24 |
$3K |
| 76642 |
|
58 |
53 |
$2K |
| 73630 |
|
94 |
73 |
$2K |
| 77062 |
|
24 |
24 |
$2K |
| 73030 |
|
74 |
67 |
$1K |
| 72040 |
|
58 |
57 |
$1K |
| 77080 |
|
27 |
27 |
$1K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
64 |
63 |
$907.98 |
| 99072 |
|
3,368 |
3,225 |
$340.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$28.08 |