| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,033 |
5,975 |
$677K |
| 71046 |
Radiologic examination, chest; 2 views |
8,273 |
8,211 |
$189K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,227 |
2,218 |
$170K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,423 |
3,408 |
$144K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,921 |
990 |
$144K |
| 76641 |
|
1,126 |
738 |
$95K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,343 |
1,334 |
$87K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,001 |
446 |
$87K |
| 73630 |
|
3,908 |
3,021 |
$87K |
| 76536 |
|
1,512 |
1,490 |
$84K |
| 73030 |
|
3,250 |
2,691 |
$76K |
| 72114 |
|
1,297 |
1,292 |
$65K |
| 73562 |
|
2,895 |
2,175 |
$62K |
| 74178 |
|
245 |
242 |
$60K |
| 72100 |
|
2,168 |
2,161 |
$60K |
| 73130 |
|
2,298 |
1,678 |
$54K |
| 73564 |
|
2,068 |
1,475 |
$53K |
| 71250 |
|
570 |
569 |
$50K |
| 76830 |
Ultrasound, transvaginal |
719 |
717 |
$47K |
| 72141 |
|
575 |
295 |
$41K |
| 73221 |
|
507 |
240 |
$41K |
| 72110 |
|
1,025 |
1,022 |
$41K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
722 |
721 |
$40K |
| 76770 |
|
540 |
537 |
$36K |
| 73610 |
|
1,455 |
1,231 |
$34K |
| 72050 |
|
880 |
876 |
$33K |
| 73110 |
|
1,068 |
849 |
$26K |
| 72040 |
|
1,063 |
1,058 |
$25K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,101 |
2,079 |
$21K |
| 76642 |
|
323 |
292 |
$21K |
| 73502 |
|
589 |
588 |
$19K |
| 74018 |
|
773 |
759 |
$17K |
| 77080 |
|
739 |
736 |
$15K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
435 |
428 |
$14K |
| 73560 |
|
501 |
357 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
97 |
97 |
$7K |
| 73080 |
|
212 |
181 |
$5K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
168 |
161 |
$5K |
| 73522 |
|
112 |
112 |
$4K |
| 72070 |
|
151 |
151 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
24 |
12 |
$3K |
| 72072 |
|
112 |
112 |
$3K |
| 93880 |
|
27 |
27 |
$3K |
| 72074 |
|
84 |
84 |
$3K |
| 71270 |
|
14 |
14 |
$3K |
| 77065 |
Tomosynthesis, mammo |
23 |
16 |
$2K |
| 73620 |
|
115 |
77 |
$2K |
| 76775 |
|
26 |
26 |
$1K |
| 73120 |
|
79 |
56 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
21 |
12 |
$1K |
| 73521 |
|
28 |
28 |
$952.56 |
| 76870 |
|
12 |
12 |
$710.16 |
| 72052 |
|
12 |
12 |
$597.72 |
| 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) |
28 |
28 |
$0.00 |