| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
6,238 |
6,070 |
$340K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12,316 |
11,588 |
$247K |
| 71045 |
Radiologic examination, chest; single view |
55,315 |
45,172 |
$244K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
5,432 |
5,354 |
$101K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,468 |
1,414 |
$57K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,970 |
1,943 |
$46K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
877 |
849 |
$38K |
| 93970 |
|
1,284 |
1,252 |
$36K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
928 |
917 |
$23K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
359 |
350 |
$12K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
597 |
586 |
$9K |
| 71250 |
|
536 |
525 |
$7K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
13 |
13 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
121 |
121 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
396 |
381 |
$5K |
| 70498 |
|
119 |
115 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
684 |
674 |
$4K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
54 |
54 |
$4K |
| 93971 |
|
416 |
408 |
$4K |
| 74018 |
|
885 |
737 |
$3K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
53 |
53 |
$2K |
| 76770 |
|
218 |
215 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
132 |
131 |
$2K |
| 70496 |
|
69 |
65 |
$2K |
| 74174 |
|
61 |
59 |
$2K |
| 73630 |
|
430 |
375 |
$2K |
| 76830 |
Ultrasound, transvaginal |
107 |
106 |
$2K |
| 73030 |
|
339 |
322 |
$2K |
| 73562 |
|
338 |
289 |
$1K |
| 72141 |
|
27 |
27 |
$1K |
| 73130 |
|
190 |
178 |
$978.46 |
| 73610 |
|
216 |
203 |
$965.14 |
| 74178 |
|
12 |
12 |
$872.87 |
| 72131 |
|
43 |
39 |
$840.43 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
275 |
274 |
$805.12 |
| 93016 |
|
41 |
41 |
$576.11 |
| 93925 |
|
12 |
12 |
$572.34 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
30 |
29 |
$464.88 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
86 |
81 |
$386.45 |
| 93018 |
|
40 |
40 |
$384.72 |
| 72100 |
|
76 |
74 |
$364.58 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
12 |
12 |
$300.54 |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
780 |
722 |
$235.08 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$204.00 |
| 73502 |
|
39 |
37 |
$157.33 |
| 70486 |
|
12 |
12 |
$154.89 |
| 73590 |
|
14 |
14 |
$78.80 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
211 |
200 |
$51.35 |
| 73090 |
|
14 |
12 |
$44.90 |
| 73552 |
|
15 |
13 |
$43.86 |
| 73140 |
|
12 |
12 |
$19.59 |