| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18,775 |
18,749 |
$1.38M |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,240 |
1,217 |
$752K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
4,764 |
4,461 |
$536K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
17,393 |
17,374 |
$520K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
7,586 |
7,471 |
$481K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
4,481 |
4,327 |
$448K |
| 76830 |
Ultrasound, transvaginal |
6,472 |
6,383 |
$427K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
2,576 |
2,527 |
$406K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,875 |
2,772 |
$396K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
7,573 |
7,488 |
$387K |
| 76641 |
|
4,608 |
3,463 |
$299K |
| 76536 |
|
4,578 |
4,498 |
$278K |
| 76642 |
|
5,482 |
5,048 |
$258K |
| 72141 |
|
2,506 |
2,439 |
$239K |
| 76770 |
|
4,281 |
4,161 |
$235K |
| 77065 |
Tomosynthesis, mammo |
3,478 |
3,287 |
$235K |
| 73221 |
|
2,034 |
1,918 |
$227K |
| 77066 |
Tomosynthesis, mammo |
2,394 |
2,347 |
$207K |
| 71046 |
Radiologic examination, chest; 2 views |
10,299 |
9,903 |
$173K |
| 72110 |
|
5,866 |
5,739 |
$151K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
2,079 |
1,982 |
$145K |
| 71271 |
|
1,865 |
1,849 |
$143K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,434 |
1,397 |
$134K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,713 |
2,683 |
$129K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,100 |
1,081 |
$117K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
6,389 |
5,917 |
$115K |
| 77049 |
|
636 |
629 |
$115K |
| 74183 |
|
708 |
697 |
$113K |
| 71250 |
|
1,702 |
1,639 |
$110K |
| 93971 |
|
1,704 |
1,662 |
$103K |
| 19083 |
|
306 |
303 |
$90K |
| 72050 |
|
3,356 |
3,277 |
$88K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
2,923 |
2,884 |
$83K |
| 78227 |
|
385 |
379 |
$82K |
| 73564 |
|
3,203 |
2,390 |
$75K |
| 76882 |
|
2,546 |
2,302 |
$74K |
| 73130 |
|
3,698 |
2,598 |
$67K |
| 76870 |
|
1,169 |
1,157 |
$65K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,719 |
8,248 |
$64K |
| 73030 |
|
3,745 |
3,201 |
$63K |
| 73630 |
|
3,351 |
2,889 |
$60K |
| 73718 |
|
466 |
439 |
$58K |
| 76801 |
|
829 |
795 |
$58K |
| 73562 |
|
2,599 |
2,049 |
$54K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,010 |
977 |
$53K |
| 74178 |
|
314 |
302 |
$49K |
| 73110 |
|
2,431 |
1,709 |
$48K |
| 74018 |
|
3,088 |
2,948 |
$48K |
| 73502 |
|
2,010 |
1,958 |
$47K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
356 |
356 |
$41K |
| 72100 |
|
2,047 |
2,015 |
$41K |
| 73610 |
|
2,148 |
1,915 |
$40K |
| 70491 |
|
454 |
438 |
$38K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
952 |
944 |
$38K |
| 73523 |
|
1,253 |
1,220 |
$38K |
| 70486 |
|
563 |
554 |
$38K |
| 72072 |
|
1,933 |
1,895 |
$38K |
| 72146 |
|
307 |
298 |
$28K |
| 77080 |
|
1,340 |
1,338 |
$27K |
| 76881 |
|
581 |
530 |
$23K |
| 93970 |
|
247 |
236 |
$22K |
| 75574 |
|
124 |
123 |
$20K |
| 72040 |
|
892 |
871 |
$17K |
| 76857 |
|
617 |
605 |
$15K |
| 73700 |
|
208 |
192 |
$13K |
| 72197 |
|
54 |
54 |
$9K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
95 |
95 |
$8K |
| 93880 |
|
73 |
71 |
$7K |
| J2805 |
Injection, sincalide, 5 micrograms |
233 |
232 |
$7K |
| 72082 |
|
156 |
156 |
$6K |
| A9537 |
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries |
381 |
380 |
$6K |
| 72158 |
|
39 |
36 |
$5K |
| 93925 |
|
43 |
41 |
$4K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
80 |
79 |
$4K |
| 72070 |
|
211 |
208 |
$4K |
| 19081 |
|
15 |
15 |
$3K |
| 72202 |
|
137 |
137 |
$3K |
| 77011 |
|
37 |
37 |
$3K |
| 73080 |
|
183 |
162 |
$3K |
| 74160 |
|
25 |
24 |
$2K |
| 73590 |
|
124 |
107 |
$2K |
| 76942 |
|
82 |
81 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$2K |
| 82565 |
|
698 |
695 |
$2K |
| 76377 |
|
52 |
50 |
$2K |
| 73565 |
|
66 |
65 |
$1K |
| 72131 |
|
25 |
25 |
$1K |
| 84520 |
|
706 |
703 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
12 |
$665.32 |
| 73140 |
|
26 |
26 |
$510.78 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
17 |
13 |
$406.60 |
| 72114 |
|
13 |
12 |
$370.59 |
| 73522 |
|
13 |
12 |
$300.74 |
| 77072 |
|
15 |
15 |
$249.15 |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
24 |
24 |
$243.34 |
| 72220 |
|
12 |
12 |
$218.68 |
| 72170 |
|
13 |
13 |
$192.60 |
| 77062 |
|
177 |
177 |
$0.00 |
| 77061 |
|
12 |
12 |
$0.00 |