| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,972 |
5,970 |
$521K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,827 |
1,823 |
$418K |
| 76641 |
|
4,889 |
3,519 |
$388K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,579 |
1,333 |
$383K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,518 |
1,516 |
$132K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
405 |
404 |
$98K |
| 76830 |
Ultrasound, transvaginal |
1,201 |
1,196 |
$87K |
| 71046 |
Radiologic examination, chest; 2 views |
4,099 |
4,087 |
$83K |
| 73221 |
|
318 |
301 |
$82K |
| 72141 |
|
280 |
280 |
$73K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,086 |
1,084 |
$67K |
| 77065 |
Tomosynthesis, mammo |
568 |
567 |
$53K |
| 73718 |
|
183 |
164 |
$47K |
| 73562 |
|
1,689 |
1,413 |
$41K |
| 72100 |
|
1,382 |
1,381 |
$31K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
883 |
883 |
$29K |
| 73630 |
|
904 |
749 |
$19K |
| 76536 |
|
278 |
278 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
136 |
136 |
$14K |
| 71250 |
|
103 |
101 |
$14K |
| 73030 |
|
721 |
676 |
$12K |
| 77080 |
|
296 |
295 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
91 |
91 |
$8K |
| 76775 |
|
78 |
78 |
$4K |
| 73610 |
|
177 |
162 |
$3K |
| 72195 |
|
12 |
12 |
$3K |
| 72040 |
|
137 |
137 |
$3K |
| 73130 |
|
116 |
102 |
$2K |
| 72070 |
|
83 |
83 |
$2K |
| 77066 |
Tomosynthesis, mammo |
15 |
15 |
$1K |
| 73110 |
|
27 |
27 |
$817.38 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
27 |
27 |
$563.99 |
| 73502 |
|
15 |
15 |
$194.89 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
45 |
$0.00 |
| G9638 |
Final reports without 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) |
16 |
16 |
$0.00 |
| 99080 |
|
264 |
169 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
16 |
16 |
$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 |
17 |
17 |
$0.00 |