| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
330 |
328 |
$558K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
858 |
856 |
$177K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
869 |
869 |
$121K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
249 |
249 |
$69K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
613 |
612 |
$34K |
| 72141 |
|
125 |
125 |
$27K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
215 |
215 |
$15K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
59 |
55 |
$11K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
122 |
122 |
$10K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
42 |
42 |
$9K |
| 76770 |
|
70 |
70 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
43 |
43 |
$5K |
| 77080 |
|
104 |
104 |
$4K |
| 76830 |
Ultrasound, transvaginal |
53 |
53 |
$4K |
| 77014 |
|
26 |
26 |
$3K |
| 76642 |
|
36 |
28 |
$3K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
27 |
27 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
230 |
226 |
$144.88 |