| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,393 |
1,230 |
$57K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
219 |
195 |
$41K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
561 |
516 |
$20K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
345 |
282 |
$16K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
47 |
38 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
900 |
800 |
$11K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
145 |
137 |
$9K |
| 76830 |
Ultrasound, transvaginal |
88 |
81 |
$5K |
| 95886 |
|
94 |
66 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
12 |
$4K |
| 72110 |
|
141 |
133 |
$3K |
| 72141 |
|
15 |
13 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
26 |
26 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
34 |
13 |
$1K |
| 73564 |
|
78 |
53 |
$1K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
140 |
112 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
194 |
158 |
$677.47 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
37 |
30 |
$320.37 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
16 |
12 |
$6.76 |
| 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) |
1,154 |
929 |
$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 |
242 |
183 |
$0.00 |
| 7025F |
|
252 |
241 |
$0.00 |
| 3342F |
|
18 |
15 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
848 |
740 |
$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 |
302 |
214 |
$0.00 |