| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,960 |
1,578 |
$209K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,676 |
1,380 |
$141K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
962 |
739 |
$114K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,681 |
1,379 |
$58K |
| 72141 |
|
451 |
361 |
$54K |
| 76642 |
|
964 |
718 |
$51K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
279 |
177 |
$41K |
| 71250 |
|
426 |
314 |
$33K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
145 |
105 |
$30K |
| 77066 |
Tomosynthesis, mammo |
256 |
204 |
$26K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
406 |
315 |
$21K |
| 73221 |
|
123 |
100 |
$16K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,797 |
1,379 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
890 |
681 |
$15K |
| 71271 |
|
142 |
131 |
$15K |
| 77062 |
|
155 |
138 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
49 |
37 |
$5K |
| 72110 |
|
158 |
120 |
$5K |
| 74018 |
|
136 |
94 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
12 |
$1K |
| 73030 |
|
52 |
41 |
$1K |
| A9576 |
Injection, gadoteridol, (prohance multipack), per ml |
616 |
470 |
$537.23 |
| 73562 |
|
18 |
12 |
$436.03 |
| 73130 |
|
20 |
13 |
$243.60 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
328 |
246 |
$121.08 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
907 |
765 |
$0.00 |
| G9556 |
Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended |
84 |
75 |
$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 |
128 |
111 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
133 |
112 |
$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) |
2,630 |
2,144 |
$0.00 |
| 3341F |
|
166 |
155 |
$0.00 |
| 7025F |
|
553 |
491 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
179 |
142 |
$0.00 |
| G9550 |
Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up |
127 |
122 |
$0.00 |