| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
9,728 |
8,614 |
$472K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12,003 |
11,029 |
$347K |
| 70450 |
Computed tomography, head or brain; without contrast material |
9,792 |
8,542 |
$210K |
| 71046 |
Radiologic examination, chest; 2 views |
26,242 |
22,567 |
$152K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
8,220 |
7,834 |
$127K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
2,845 |
2,585 |
$95K |
| 76830 |
Ultrasound, transvaginal |
2,598 |
2,403 |
$83K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,502 |
2,296 |
$81K |
| 71045 |
Radiologic examination, chest; single view |
23,449 |
16,105 |
$75K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,921 |
1,766 |
$71K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
3,009 |
2,753 |
$68K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,691 |
1,560 |
$63K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
413 |
401 |
$61K |
| 76642 |
|
1,906 |
1,515 |
$49K |
| 71250 |
|
1,754 |
1,559 |
$43K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
232 |
228 |
$43K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,864 |
1,736 |
$30K |
| 77066 |
Tomosynthesis, mammo |
712 |
661 |
$30K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
249 |
243 |
$25K |
| 73630 |
|
4,400 |
3,677 |
$22K |
| 76536 |
|
936 |
894 |
$22K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
821 |
770 |
$22K |
| 93971 |
|
1,396 |
1,264 |
$22K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,317 |
1,089 |
$22K |
| 77065 |
Tomosynthesis, mammo |
529 |
475 |
$18K |
| 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) |
4,844 |
3,162 |
$18K |
| 93975 |
|
172 |
168 |
$18K |
| 77062 |
|
552 |
502 |
$17K |
| 73610 |
|
3,253 |
2,882 |
$16K |
| 73562 |
|
2,801 |
2,302 |
$16K |
| 70486 |
|
404 |
371 |
$16K |
| 73130 |
|
2,596 |
2,093 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
123 |
119 |
$15K |
| 72100 |
|
1,607 |
1,541 |
$15K |
| 73030 |
|
2,344 |
1,982 |
$14K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
708 |
556 |
$13K |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
3,146 |
2,388 |
$13K |
| 77080 |
|
783 |
750 |
$11K |
| 73110 |
|
1,665 |
1,399 |
$10K |
| 72050 |
|
652 |
635 |
$9K |
| 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 |
2,068 |
1,644 |
$9K |
| 71271 |
|
226 |
223 |
$9K |
| 73502 |
|
967 |
895 |
$7K |
| 74018 |
|
1,085 |
874 |
$6K |
| 76775 |
|
242 |
234 |
$6K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
113 |
108 |
$5K |
| 76770 |
|
202 |
191 |
$5K |
| 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) |
1,165 |
896 |
$4K |
| 93970 |
|
117 |
110 |
$3K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
137 |
42 |
$2K |
| 70498 |
|
69 |
67 |
$2K |
| 73140 |
|
642 |
566 |
$2K |
| 76870 |
|
109 |
91 |
$2K |
| 71270 |
|
62 |
61 |
$2K |
| 72110 |
|
199 |
178 |
$2K |
| 72141 |
|
14 |
14 |
$2K |
| 70496 |
|
53 |
51 |
$2K |
| 77061 |
|
39 |
39 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
72 |
69 |
$1K |
| 73080 |
|
307 |
294 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
53 |
51 |
$1K |
| 73590 |
|
271 |
243 |
$1K |
| 73564 |
|
175 |
131 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
116 |
52 |
$868.70 |
| 93880 |
|
12 |
12 |
$641.06 |
| 70491 |
|
13 |
13 |
$629.78 |
| 76801 |
|
29 |
26 |
$575.30 |
| 74019 |
|
88 |
52 |
$555.81 |
| 73560 |
|
100 |
80 |
$426.44 |
| 73090 |
|
62 |
57 |
$273.30 |
| 71101 |
|
38 |
38 |
$252.64 |
| 76882 |
|
15 |
13 |
$177.27 |
| 71100 |
|
24 |
24 |
$175.14 |
| 72072 |
|
12 |
12 |
$156.60 |
| 73120 |
|
43 |
32 |
$154.80 |
| 74021 |
|
14 |
12 |
$133.84 |
| 7025F |
|
1,212 |
1,029 |
$23.12 |
| 3341F |
|
564 |
481 |
$0.00 |
| 3342F |
|
343 |
274 |
$0.00 |