| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,318 |
2,300 |
$160K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
117 |
115 |
$99K |
| 76641 |
|
1,463 |
1,021 |
$90K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
144 |
135 |
$42K |
| 76830 |
Ultrasound, transvaginal |
673 |
662 |
$35K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
288 |
285 |
$35K |
| 71250 |
|
366 |
362 |
$27K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
351 |
349 |
$24K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
170 |
167 |
$23K |
| 95811 |
|
72 |
68 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
1,342 |
1,330 |
$21K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
158 |
141 |
$21K |
| 76770 |
|
348 |
342 |
$19K |
| 76536 |
|
322 |
320 |
$18K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
283 |
280 |
$16K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
125 |
122 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
228 |
227 |
$12K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
252 |
247 |
$11K |
| 77066 |
Tomosynthesis, mammo |
141 |
139 |
$11K |
| 77080 |
|
489 |
484 |
$10K |
| 72141 |
|
87 |
86 |
$10K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
118 |
112 |
$10K |
| 93970 |
|
104 |
102 |
$10K |
| 93925 |
|
55 |
55 |
$6K |
| 72100 |
|
259 |
254 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
28 |
28 |
$3K |
| 93000 |
|
300 |
298 |
$3K |
| 77065 |
Tomosynthesis, mammo |
41 |
41 |
$2K |
| 72040 |
|
66 |
66 |
$1K |
| 72131 |
|
14 |
12 |
$840.99 |
| 73030 |
|
52 |
42 |
$716.25 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
423 |
422 |
$711.84 |
| 73560 |
|
40 |
39 |
$586.66 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
179 |
164 |
$516.67 |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
121 |
119 |
$300.00 |
| 73565 |
|
16 |
16 |
$271.95 |
| 74018 |
|
14 |
12 |
$190.84 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
231 |
218 |
$115.69 |
| 76376 |
|
152 |
145 |
$66.34 |