| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
709 |
704 |
$1.01M |
| 76830 |
Ultrasound, transvaginal |
2,059 |
2,022 |
$648K |
| 82565 |
|
1,121 |
1,104 |
$456K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
651 |
647 |
$258K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,361 |
2,337 |
$240K |
| 71250 |
|
934 |
909 |
$236K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
181 |
177 |
$140K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
924 |
911 |
$120K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
897 |
882 |
$118K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,107 |
1,094 |
$99K |
| 71046 |
Radiologic examination, chest; 2 views |
2,890 |
2,808 |
$82K |
| 36415 |
Collection of venous blood by venipuncture |
483 |
474 |
$80K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
120 |
119 |
$74K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,794 |
1,758 |
$58K |
| 76770 |
|
458 |
448 |
$52K |
| 74018 |
|
1,228 |
1,162 |
$50K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,099 |
3,058 |
$39K |
| 76775 |
|
487 |
481 |
$36K |
| 72100 |
|
762 |
753 |
$32K |
| 76536 |
|
219 |
214 |
$22K |
| 77080 |
|
94 |
92 |
$16K |
| 93971 |
|
24 |
24 |
$7K |
| 71271 |
|
37 |
37 |
$5K |
| 73630 |
|
66 |
65 |
$3K |
| 73560 |
|
59 |
56 |
$3K |
| 74230 |
|
34 |
29 |
$2K |
| 93976 |
|
669 |
656 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,687 |
2,616 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
361 |
353 |
$1K |
| 73030 |
|
38 |
38 |
$1K |
| 72040 |
|
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
163 |
$577.29 |
| 73501 |
|
12 |
12 |
$166.28 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
2,095 |
1,979 |
$128.94 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,393 |
1,313 |
$56.63 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
25 |
25 |
$0.00 |
| 92611 |
|
33 |
28 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$0.00 |