| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93975 |
|
9,088 |
7,458 |
$1.37M |
| 93976 |
|
7,736 |
6,783 |
$955K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
10,736 |
8,402 |
$887K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,707 |
2,893 |
$676K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
9,600 |
8,043 |
$660K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
10,830 |
9,027 |
$596K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
3,525 |
3,024 |
$591K |
| 76830 |
Ultrasound, transvaginal |
9,226 |
7,766 |
$559K |
| 76641 |
|
6,336 |
3,970 |
$454K |
| 73221 |
|
2,214 |
1,805 |
$403K |
| 78013 |
|
2,501 |
2,123 |
$344K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,663 |
2,551 |
$286K |
| 72141 |
|
1,436 |
1,249 |
$244K |
| 76825 |
|
2,148 |
2,098 |
$238K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,266 |
1,066 |
$226K |
| 76820 |
|
4,867 |
4,506 |
$203K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
637 |
554 |
$194K |
| 77066 |
Tomosynthesis, mammo |
1,654 |
1,267 |
$187K |
| 76536 |
|
3,280 |
2,821 |
$187K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
1,227 |
1,079 |
$179K |
| 76801 |
|
3,066 |
2,730 |
$172K |
| 77065 |
Tomosynthesis, mammo |
2,041 |
1,523 |
$168K |
| 76770 |
|
2,507 |
2,131 |
$157K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,642 |
2,424 |
$153K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
939 |
814 |
$143K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,626 |
1,557 |
$129K |
| 71250 |
|
984 |
884 |
$102K |
| 76881 |
|
2,258 |
1,969 |
$99K |
| 71271 |
|
973 |
731 |
$93K |
| 71046 |
Radiologic examination, chest; 2 views |
8,664 |
7,581 |
$90K |
| 73562 |
|
6,978 |
4,853 |
$83K |
| 72110 |
|
4,087 |
3,262 |
$83K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,052 |
848 |
$81K |
| 77080 |
|
2,005 |
1,851 |
$80K |
| 76857 |
|
2,514 |
2,181 |
$79K |
| 76813 |
|
1,009 |
791 |
$74K |
| 74178 |
|
224 |
197 |
$64K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,517 |
2,731 |
$58K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
730 |
691 |
$56K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,301 |
1,226 |
$50K |
| 72050 |
|
1,633 |
1,279 |
$39K |
| 73030 |
|
4,270 |
3,355 |
$38K |
| 73630 |
|
4,464 |
3,387 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
120 |
108 |
$35K |
| 76642 |
|
658 |
501 |
$34K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
1,071 |
1,040 |
$32K |
| 73130 |
|
2,718 |
1,959 |
$30K |
| 51798 |
|
574 |
571 |
$24K |
| 76870 |
|
507 |
456 |
$24K |
| 72072 |
|
3,215 |
2,949 |
$23K |
| Q9962 |
High osmolar contrast material, 300-349 mg/ml iodine concentration, per ml |
1,328 |
1,297 |
$21K |
| 73610 |
|
2,139 |
1,758 |
$19K |
| 93971 |
|
424 |
388 |
$18K |
| 73718 |
|
85 |
70 |
$17K |
| 72100 |
|
4,298 |
4,234 |
$17K |
| 73522 |
|
423 |
287 |
$16K |
| 77086 |
|
332 |
332 |
$14K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
685 |
490 |
$11K |
| 73110 |
|
1,194 |
1,007 |
$10K |
| 73502 |
|
757 |
677 |
$9K |
| 76882 |
|
269 |
227 |
$7K |
| 93880 |
|
62 |
55 |
$7K |
| 93970 |
|
45 |
43 |
$6K |
| 77081 |
|
191 |
191 |
$6K |
| 72040 |
|
1,856 |
1,838 |
$6K |
| 72146 |
|
31 |
24 |
$4K |
| 74170 |
|
13 |
13 |
$4K |
| 71270 |
|
14 |
14 |
$3K |
| 73564 |
|
929 |
751 |
$3K |
| 73080 |
|
579 |
513 |
$2K |
| 76942 |
|
58 |
42 |
$2K |
| 93978 |
|
25 |
24 |
$2K |
| 72220 |
|
234 |
212 |
$2K |
| 73700 |
|
16 |
12 |
$2K |
| 74018 |
|
449 |
428 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
13 |
$1K |
| 77085 |
|
52 |
31 |
$1K |
| 73140 |
|
488 |
462 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
88 |
78 |
$1K |
| 72081 |
|
180 |
180 |
$760.48 |
| 73590 |
|
181 |
152 |
$555.74 |
| 72170 |
|
28 |
28 |
$320.77 |
| 73521 |
|
471 |
464 |
$292.93 |
| 73660 |
|
179 |
167 |
$284.51 |
| 72070 |
|
44 |
42 |
$203.65 |
| 73650 |
|
91 |
78 |
$183.77 |
| 72114 |
|
40 |
38 |
$148.14 |
| 73090 |
|
70 |
68 |
$83.50 |
| 73620 |
|
522 |
401 |
$54.87 |
| 73120 |
|
72 |
61 |
$9.64 |
| 73560 |
|
207 |
176 |
$9.36 |
| 3341F |
|
185 |
183 |
$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) |
2,340 |
2,315 |
$0.00 |
| 7025F |
|
3,645 |
3,632 |
$0.00 |
| 72083 |
|
15 |
15 |
$0.00 |
| 72082 |
|
104 |
103 |
$0.00 |
| 71101 |
|
14 |
14 |
$0.00 |
| 72052 |
|
28 |
28 |
$0.00 |
| 73600 |
|
25 |
19 |
$0.00 |
| 73020 |
|
90 |
80 |
$0.00 |
| 73070 |
|
26 |
26 |
$0.00 |
| 73100 |
|
34 |
30 |
$0.00 |