| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78459 |
|
303 |
279 |
$639K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
1,394 |
1,354 |
$403K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
1,855 |
1,688 |
$293K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
277 |
254 |
$229K |
| 93970 |
|
1,237 |
1,172 |
$184K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
6,723 |
6,097 |
$155K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
1,397 |
1,312 |
$155K |
| 93880 |
|
1,210 |
1,137 |
$152K |
| J2785 |
Injection, regadenoson, 0.1 mg |
957 |
930 |
$143K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
4,485 |
4,003 |
$136K |
| 93925 |
|
990 |
903 |
$132K |
| A9502 |
Technetium tc-99m tetrofosmin, diagnostic, per study dose |
1,327 |
1,286 |
$128K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
515 |
481 |
$122K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
351 |
272 |
$79K |
| 93015 |
|
2,226 |
2,128 |
$73K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
555 |
531 |
$71K |
| 93886 |
|
425 |
359 |
$71K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
517 |
510 |
$70K |
| 76770 |
|
584 |
555 |
$69K |
| 72141 |
|
216 |
211 |
$57K |
| 93923 |
|
644 |
620 |
$48K |
| 93931 |
|
642 |
619 |
$45K |
| 73221 |
|
145 |
123 |
$36K |
| 78608 |
|
266 |
261 |
$28K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
96 |
96 |
$22K |
| A9555 |
Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries |
142 |
130 |
$22K |
| 36475 |
|
13 |
13 |
$12K |
| 93892 |
|
46 |
43 |
$10K |
| 93890 |
|
46 |
43 |
$10K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,126 |
1,111 |
$9K |
| 78814 |
|
14 |
14 |
$7K |
| 78492 |
|
119 |
108 |
$7K |
| J0280 |
Injection, aminophyllin, up to 250 mg |
1,068 |
1,027 |
$5K |
| 70544 |
|
188 |
188 |
$5K |
| 74178 |
|
13 |
12 |
$5K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
68 |
67 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
40 |
39 |
$4K |
| 70547 |
|
100 |
100 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
13 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
80 |
80 |
$2K |
| 77002 |
|
13 |
12 |
$1K |
| 99243 |
|
14 |
14 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
26 |
$1K |
| 71250 |
|
132 |
131 |
$959.81 |
| 72040 |
|
15 |
15 |
$698.25 |
| 72100 |
|
13 |
13 |
$554.53 |
| 78431 |
|
106 |
99 |
$472.73 |
| 78320 |
|
12 |
12 |
$404.63 |
| 78803 |
|
27 |
27 |
$374.01 |
| 75574 |
|
16 |
16 |
$360.19 |
| 78607 |
|
28 |
27 |
$343.38 |
| 73706 |
|
30 |
15 |
$301.31 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$180.75 |
| 78434 |
|
57 |
54 |
$135.83 |
| 76706 |
|
12 |
12 |
$85.45 |
| 70498 |
|
15 |
15 |
$38.91 |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
12 |
12 |
$25.02 |
| 70496 |
|
16 |
16 |
$14.33 |
| J1245 |
Injection, dipyridamole, per 10 mg |
22 |
21 |
$4.96 |
| A9584 |
Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries |
66 |
66 |
$0.00 |
| 74174 |
|
15 |
15 |
$0.00 |