| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
908 |
908 |
$161K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
661 |
601 |
$107K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
919 |
919 |
$68K |
| 93976 |
|
745 |
720 |
$60K |
| 71046 |
Radiologic examination, chest; 2 views |
3,556 |
3,539 |
$58K |
| 72141 |
|
266 |
266 |
$48K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
709 |
708 |
$47K |
| 73221 |
|
247 |
226 |
$46K |
| 76642 |
|
707 |
593 |
$45K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
626 |
625 |
$32K |
| 72100 |
|
1,042 |
1,037 |
$20K |
| 76830 |
Ultrasound, transvaginal |
362 |
361 |
$19K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
334 |
334 |
$16K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
28 |
28 |
$7K |
| 77080 |
|
245 |
245 |
$6K |
| 72040 |
|
355 |
352 |
$5K |
| 73562 |
|
419 |
330 |
$5K |
| 76536 |
|
146 |
146 |
$5K |
| 73030 |
|
312 |
271 |
$5K |
| 73630 |
|
167 |
139 |
$3K |
| 77066 |
Tomosynthesis, mammo |
13 |
13 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
253 |
222 |
$2K |
| 72082 |
|
57 |
57 |
$2K |
| 76377 |
|
13 |
13 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
197 |
115 |
$1K |
| 73130 |
|
78 |
55 |
$1K |
| 76770 |
|
13 |
13 |
$804.77 |
| 73560 |
|
53 |
39 |
$757.76 |
| 72120 |
|
31 |
31 |
$726.11 |
| 76775 |
|
15 |
15 |
$663.86 |
| 73610 |
|
47 |
40 |
$574.47 |
| 51798 |
|
24 |
24 |
$414.40 |
| 72072 |
|
13 |
13 |
$337.89 |
| 74018 |
|
40 |
39 |
$268.93 |
| 73110 |
|
16 |
12 |
$263.22 |
| 76376 |
|
458 |
443 |
$214.65 |
| 73120 |
|
14 |
12 |
$198.10 |
| 77062 |
|
13 |
13 |
$195.80 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
134 |
83 |
$74.90 |
| 70220 |
|
32 |
32 |
$0.00 |
| 7025F |
|
19 |
19 |
$0.00 |
| 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) |
189 |
187 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
14 |
14 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
29 |
28 |
$0.00 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
54 |
54 |
$0.00 |