| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
25,299 |
19,097 |
$1.04M |
| 76830 |
Ultrasound, transvaginal |
6,965 |
5,429 |
$361K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
416 |
304 |
$196K |
| 71046 |
Radiologic examination, chest; 2 views |
16,812 |
12,056 |
$152K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,204 |
2,809 |
$146K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,609 |
1,758 |
$144K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,128 |
1,483 |
$132K |
| 76536 |
|
3,662 |
2,791 |
$131K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
5,583 |
4,125 |
$130K |
| 71250 |
|
3,609 |
2,787 |
$127K |
| 77066 |
Tomosynthesis, mammo |
2,121 |
1,511 |
$118K |
| 76770 |
|
3,168 |
2,260 |
$100K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
11,651 |
9,007 |
$91K |
| 76642 |
|
4,119 |
2,565 |
$88K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,259 |
632 |
$87K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,367 |
796 |
$80K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,352 |
1,655 |
$65K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
945 |
683 |
$61K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
724 |
502 |
$56K |
| 74178 |
|
716 |
557 |
$47K |
| 76641 |
|
1,750 |
840 |
$42K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,074 |
809 |
$39K |
| 70360 |
|
1,747 |
1,232 |
$30K |
| 72141 |
|
494 |
295 |
$27K |
| 77062 |
|
653 |
498 |
$25K |
| 77080 |
|
2,269 |
1,837 |
$23K |
| 77065 |
Tomosynthesis, mammo |
473 |
320 |
$22K |
| 93000 |
|
3,518 |
2,679 |
$21K |
| 72082 |
|
795 |
363 |
$18K |
| 72100 |
|
1,530 |
1,201 |
$17K |
| 72110 |
|
1,169 |
836 |
$16K |
| 74183 |
|
155 |
107 |
$11K |
| 74018 |
|
852 |
530 |
$10K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
404 |
283 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
208 |
182 |
$6K |
| 73030 |
|
773 |
506 |
$6K |
| 72040 |
|
612 |
498 |
$5K |
| 73630 |
|
447 |
259 |
$5K |
| 70486 |
|
61 |
59 |
$4K |
| 72050 |
|
438 |
316 |
$4K |
| 72197 |
|
57 |
27 |
$4K |
| 73560 |
|
387 |
268 |
$4K |
| 73564 |
|
426 |
199 |
$3K |
| 73221 |
|
61 |
53 |
$3K |
| 93971 |
|
68 |
60 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
67 |
60 |
$3K |
| 71271 |
|
43 |
39 |
$3K |
| 78264 |
|
68 |
25 |
$2K |
| 73130 |
|
281 |
157 |
$2K |
| 77072 |
|
175 |
89 |
$2K |
| 72070 |
|
185 |
169 |
$2K |
| 78306 |
|
13 |
12 |
$1K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,475 |
2,509 |
$1K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
2,695 |
1,447 |
$971.84 |
| 76857 |
|
54 |
51 |
$962.30 |
| 93880 |
|
20 |
16 |
$957.17 |
| 76377 |
|
119 |
101 |
$937.50 |
| 93970 |
|
13 |
13 |
$884.47 |
| 72072 |
|
132 |
86 |
$877.12 |
| 73502 |
|
61 |
59 |
$780.15 |
| 77061 |
|
13 |
13 |
$647.19 |
| 73620 |
|
73 |
55 |
$607.97 |
| 70210 |
|
13 |
12 |
$494.88 |
| 73020 |
|
95 |
73 |
$415.29 |
| 73120 |
|
55 |
30 |
$385.18 |
| 73562 |
|
33 |
26 |
$340.37 |
| 73610 |
|
13 |
12 |
$313.76 |
| 73522 |
|
18 |
16 |
$303.39 |
| 72114 |
|
16 |
15 |
$225.58 |
| A9573 |
Injection, gadopiclenol, 1 ml |
651 |
574 |
$177.21 |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
30 |
26 |
$3.67 |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
67 |
24 |
$0.00 |
| 3342F |
|
19 |
17 |
$0.00 |
| 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) |
33 |
28 |
$0.00 |
| 7025F |
|
69 |
67 |
$0.00 |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
14 |
12 |
$0.00 |