| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,528 |
3,450 |
$277K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,851 |
4,851 |
$209K |
| 71046 |
Radiologic examination, chest; 2 views |
11,374 |
11,194 |
$118K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,992 |
3,990 |
$110K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
646 |
646 |
$98K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
661 |
635 |
$85K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
421 |
419 |
$80K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,749 |
2,700 |
$66K |
| 71045 |
Radiologic examination, chest; single view |
5,979 |
5,386 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,152 |
1,108 |
$34K |
| 76642 |
|
585 |
564 |
$21K |
| 76641 |
|
290 |
289 |
$18K |
| 71271 |
|
263 |
263 |
$17K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
115 |
115 |
$15K |
| 73221 |
|
103 |
100 |
$13K |
| 72141 |
|
79 |
79 |
$10K |
| 73630 |
|
938 |
867 |
$8K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
269 |
265 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
109 |
105 |
$7K |
| 76830 |
Ultrasound, transvaginal |
227 |
226 |
$6K |
| 76536 |
|
193 |
192 |
$5K |
| 73030 |
|
538 |
482 |
$5K |
| 73610 |
|
612 |
583 |
$5K |
| 73130 |
|
455 |
401 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
80 |
78 |
$3K |
| 93971 |
|
191 |
186 |
$3K |
| 73564 |
|
246 |
226 |
$3K |
| 76775 |
|
121 |
119 |
$2K |
| 74018 |
|
312 |
289 |
$2K |
| 74183 |
|
12 |
12 |
$2K |
| 72100 |
|
105 |
105 |
$1K |
| 73110 |
|
133 |
123 |
$1K |
| 72110 |
|
51 |
51 |
$972.77 |
| 77065 |
Tomosynthesis, mammo |
16 |
15 |
$891.28 |
| 77061 |
|
14 |
14 |
$881.08 |
| 77066 |
Tomosynthesis, mammo |
12 |
12 |
$857.85 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
24 |
24 |
$842.79 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$842.60 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
27 |
27 |
$830.18 |
| 73502 |
|
50 |
49 |
$669.72 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
407 |
217 |
$662.46 |
| 72050 |
|
12 |
12 |
$231.99 |
| 73562 |
|
18 |
12 |
$157.49 |
| 72040 |
|
13 |
13 |
$156.54 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
13 |
$148.89 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
321 |
187 |
$0.00 |
| G1010 |
Clinical decision support mechanism stanson, as defined by the medicare appropriate use criteria program |
91 |
91 |
$0.00 |