| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
42,435 |
42,311 |
$502K |
| 78816 |
|
291 |
290 |
$259K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25,208 |
25,150 |
$249K |
| 74178 |
|
4,642 |
4,632 |
$162K |
| 76377 |
|
4,076 |
3,792 |
$157K |
| 76641 |
|
16,749 |
15,574 |
$142K |
| 71046 |
Radiologic examination, chest; 2 views |
29,141 |
29,014 |
$119K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
3,813 |
3,786 |
$94K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,404 |
3,167 |
$91K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12,918 |
12,874 |
$89K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,808 |
1,791 |
$84K |
| 71250 |
|
4,784 |
4,777 |
$70K |
| 72110 |
|
9,577 |
9,551 |
$60K |
| 76536 |
|
7,537 |
7,522 |
$52K |
| 76770 |
|
4,337 |
4,320 |
$43K |
| 73221 |
|
1,803 |
1,733 |
$42K |
| 76830 |
Ultrasound, transvaginal |
4,805 |
4,794 |
$40K |
| 72141 |
|
2,071 |
2,053 |
$39K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,579 |
1,574 |
$39K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,442 |
1,433 |
$38K |
| 77066 |
Tomosynthesis, mammo |
2,566 |
2,556 |
$38K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,909 |
1,901 |
$34K |
| 77080 |
|
7,005 |
6,979 |
$34K |
| 73562 |
|
8,853 |
8,801 |
$29K |
| 72050 |
|
4,812 |
4,795 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,593 |
2,588 |
$24K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
67 |
67 |
$24K |
| 93970 |
|
1,173 |
1,168 |
$23K |
| 93880 |
|
1,054 |
1,046 |
$23K |
| 73630 |
|
5,429 |
5,374 |
$19K |
| 73030 |
|
5,355 |
5,329 |
$18K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
430 |
428 |
$17K |
| 72083 |
|
1,094 |
1,094 |
$17K |
| 73503 |
|
2,061 |
2,051 |
$15K |
| 74170 |
|
610 |
609 |
$13K |
| 73610 |
|
3,064 |
3,029 |
$12K |
| 73130 |
|
3,216 |
3,200 |
$11K |
| 70486 |
|
763 |
763 |
$9K |
| 70220 |
|
1,347 |
1,343 |
$9K |
| 71270 |
|
519 |
518 |
$8K |
| 72072 |
|
2,031 |
2,027 |
$8K |
| 74018 |
|
1,753 |
1,738 |
$8K |
| 73110 |
|
2,076 |
2,044 |
$7K |
| 76942 |
|
606 |
602 |
$6K |
| 74220 |
|
1,191 |
1,187 |
$5K |
| 71110 |
|
1,071 |
1,068 |
$5K |
| 73080 |
|
1,229 |
1,218 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
115 |
115 |
$4K |
| 93925 |
|
298 |
298 |
$4K |
| 76881 |
|
220 |
220 |
$3K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
6,559 |
5,381 |
$2K |
| 76870 |
|
321 |
320 |
$2K |
| 72202 |
|
357 |
356 |
$2K |
| 72131 |
|
98 |
98 |
$2K |
| 73718 |
|
28 |
25 |
$1K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
1,140 |
1,020 |
$1K |
| 70360 |
|
148 |
147 |
$965.91 |
| 73590 |
|
338 |
333 |
$938.45 |
| 74150 |
|
26 |
26 |
$750.93 |
| 10022 |
|
13 |
13 |
$657.02 |
| 74246 |
|
61 |
61 |
$644.20 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
96 |
96 |
$563.60 |
| 72084 |
|
180 |
180 |
$546.51 |
| 60100 |
|
13 |
13 |
$471.85 |
| 73140 |
|
147 |
147 |
$463.68 |
| 70491 |
|
12 |
12 |
$425.86 |
| 78306 |
|
12 |
12 |
$338.47 |
| 74240 |
|
51 |
51 |
$329.56 |
| 74247 |
|
37 |
37 |
$257.54 |
| 73090 |
|
50 |
50 |
$208.43 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$142.22 |
| 72146 |
|
13 |
13 |
$127.34 |
| 74021 |
|
52 |
52 |
$122.56 |
| 72170 |
|
24 |
24 |
$108.10 |
| Q9953 |
Injection, iron-based magnetic resonance contrast agent, per ml |
253 |
230 |
$97.32 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
78 |
78 |
$57.94 |
| 19081 |
|
41 |
41 |
$24.54 |
| 73501 |
|
42 |
42 |
$19.65 |
| 73650 |
|
25 |
25 |
$19.02 |
| 70460 |
|
12 |
12 |
$6.84 |
| 72082 |
|
41 |
41 |
$0.00 |
| 73564 |
|
59 |
58 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$0.00 |
| 72052 |
|
15 |
15 |
$0.00 |
| 73552 |
|
12 |
12 |
$0.00 |
| 76813 |
|
12 |
12 |
$0.00 |