| Code | Description | Claims | Beneficiaries | Total Paid |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,057 |
662 |
$60K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
3,269 |
2,029 |
$32K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,518 |
921 |
$25K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
4,289 |
2,822 |
$21K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
7,469 |
7,465 |
$21K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
846 |
828 |
$17K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,664 |
2,215 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,018 |
1,008 |
$12K |
| 72141 |
|
1,148 |
753 |
$8K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
7,159 |
6,947 |
$8K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
7,155 |
6,943 |
$7K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
6,099 |
6,076 |
$7K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
656 |
652 |
$6K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,717 |
5,713 |
$6K |
| 76830 |
Ultrasound, transvaginal |
4,857 |
4,855 |
$6K |
| 73221 |
|
548 |
391 |
$5K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,462 |
3,459 |
$5K |
| 88175 |
Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer |
4,864 |
4,775 |
$5K |
| 76642 |
|
3,633 |
3,083 |
$4K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,296 |
1,194 |
$4K |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
3,184 |
3,106 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40,175 |
19,997 |
$4K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
5,156 |
5,010 |
$4K |
| 87481 |
|
2,626 |
2,045 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
4,061 |
4,000 |
$3K |
| 71250 |
|
905 |
904 |
$3K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
2,316 |
2,227 |
$3K |
| 74178 |
|
148 |
148 |
$3K |
| 80053 |
Comprehensive metabolic panel |
23,779 |
14,304 |
$2K |
| 77066 |
Tomosynthesis, mammo |
1,105 |
1,097 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
757 |
705 |
$2K |
| 81513 |
|
1,364 |
1,337 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
398 |
398 |
$2K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13,893 |
5,355 |
$2K |
| 77065 |
Tomosynthesis, mammo |
708 |
684 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,713 |
3,582 |
$1K |
| 83735 |
|
12,811 |
4,363 |
$1K |
| 81001 |
|
14,008 |
12,394 |
$1K |
| 84100 |
|
8,187 |
2,304 |
$915.33 |
| 74183 |
|
68 |
41 |
$883.06 |
| 76770 |
|
792 |
792 |
$851.80 |
| 84484 |
|
6,707 |
5,450 |
$830.18 |
| 83605 |
|
4,138 |
3,067 |
$768.70 |
| 85610 |
|
6,584 |
4,333 |
$749.92 |
| 74018 |
|
631 |
596 |
$678.11 |
| 93976 |
|
419 |
417 |
$668.18 |
| 86901 |
|
4,196 |
3,499 |
$611.26 |
| 77080 |
|
585 |
581 |
$594.90 |
| 85730 |
|
2,486 |
1,768 |
$573.90 |
| 83880 |
|
3,450 |
2,744 |
$442.94 |
| 76536 |
|
857 |
852 |
$422.88 |
| 83690 |
|
6,266 |
5,448 |
$412.29 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
59 |
58 |
$408.56 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
3,796 |
3,534 |
$390.79 |
| 81025 |
|
4,436 |
4,101 |
$382.97 |
| 82962 |
|
3,801 |
1,437 |
$359.87 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,252 |
2,129 |
$350.49 |
| 86850 |
|
3,143 |
2,736 |
$320.95 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
3,162 |
3,024 |
$302.46 |
| 87040 |
|
2,749 |
2,253 |
$291.54 |
| 85027 |
|
2,595 |
1,590 |
$286.13 |
| 87480 |
|
262 |
256 |
$266.59 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
686 |
684 |
$246.62 |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,206 |
2,071 |
$229.12 |
| 87077 |
|
2,599 |
2,373 |
$226.03 |
| 86900 |
|
4,180 |
3,485 |
$205.32 |
| 77062 |
|
533 |
531 |
$205.17 |
| 87205 |
|
1,075 |
861 |
$201.95 |
| 83615 |
|
922 |
557 |
$197.92 |
| 80306 |
|
3,999 |
3,586 |
$191.92 |
| 88307 |
|
36 |
36 |
$171.28 |
| 87186 |
|
2,255 |
2,056 |
$167.91 |
| 84702 |
|
1,276 |
1,122 |
$157.70 |
| 82728 |
|
1,015 |
667 |
$142.22 |
| A4550 |
Surgical trays |
271 |
261 |
$140.91 |
| 80076 |
|
3,098 |
2,069 |
$135.56 |
| 84550 |
|
380 |
261 |
$129.37 |
| 87081 |
|
900 |
764 |
$122.88 |
| 87070 |
|
1,044 |
864 |
$107.64 |
| 82948 |
|
3,272 |
779 |
$106.30 |
| 80061 |
Lipid panel |
1,191 |
1,079 |
$98.90 |
| 85379 |
|
806 |
442 |
$79.23 |
| 87563 |
|
12 |
12 |
$77.20 |
| 82550 |
|
536 |
389 |
$75.71 |
| 80320 |
|
1,504 |
1,353 |
$73.58 |
| 87641 |
|
267 |
244 |
$59.07 |
| 87660 |
|
261 |
255 |
$47.64 |
| 84703 |
|
1,370 |
1,328 |
$47.21 |
| 87581 |
|
95 |
94 |
$44.37 |
| 88304 |
|
30 |
30 |
$40.72 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,331 |
1,296 |
$38.50 |
| 71046 |
Radiologic examination, chest; 2 views |
372 |
369 |
$38.38 |
| 87807 |
|
121 |
119 |
$35.91 |
| 82803 |
|
413 |
197 |
$28.15 |
| 82805 |
|
282 |
235 |
$24.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
215 |
198 |
$21.87 |
| 86141 |
|
481 |
298 |
$21.50 |
| 82150 |
|
14 |
12 |
$21.26 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
393 |
376 |
$17.14 |
| 81003 |
|
30 |
26 |
$17.03 |
| 82607 |
|
441 |
424 |
$15.35 |
| 84466 |
|
375 |
363 |
$14.85 |
| 82248 |
|
362 |
215 |
$13.52 |
| 82746 |
|
212 |
204 |
$12.40 |
| 82247 |
|
170 |
103 |
$12.03 |
| 86140 |
|
492 |
314 |
$11.96 |
| 86780 |
|
1,032 |
983 |
$11.86 |
| 82565 |
|
234 |
181 |
$11.77 |
| 82570 |
|
196 |
182 |
$8.99 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
174 |
168 |
$8.10 |
| 82553 |
|
18 |
12 |
$8.09 |
| 83540 |
|
416 |
403 |
$7.70 |
| 87075 |
|
101 |
86 |
$6.05 |
| 87340 |
|
186 |
183 |
$5.46 |
| 87210 |
|
164 |
154 |
$4.97 |
| 82010 |
|
84 |
76 |
$4.60 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
87 |
87 |
$4.14 |
| 84132 |
|
123 |
96 |
$3.87 |
| 85014 |
|
731 |
608 |
$3.85 |
| 85045 |
|
74 |
65 |
$3.37 |
| 80329 |
|
375 |
311 |
$3.18 |
| 87088 |
|
136 |
128 |
$2.68 |
| 85018 |
|
815 |
672 |
$2.08 |
| 80047 |
|
1,105 |
933 |
$1.96 |
| 84439 |
|
196 |
179 |
$1.58 |
| 85651 |
|
102 |
79 |
$0.47 |
| 86635 |
|
45 |
43 |
$0.00 |
| 87510 |
|
260 |
255 |
$0.00 |
| 86803 |
|
98 |
97 |
$0.00 |
| 87632 |
|
40 |
38 |
$0.00 |
| 86920 |
|
201 |
189 |
$0.00 |
| 86880 |
|
192 |
185 |
$0.00 |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
699 |
686 |
$0.00 |
| 87503 |
|
181 |
167 |
$0.00 |
| 87147 |
|
29 |
25 |
$0.00 |
| 82330 |
|
20 |
14 |
$0.00 |
| 83789 |
|
15 |
15 |
$0.00 |
| 88342 |
|
75 |
74 |
$0.00 |
| 83021 |
|
15 |
15 |
$0.00 |
| 87486 |
|
65 |
64 |
$0.00 |
| 87625 |
|
13 |
13 |
$0.00 |
| 83498 |
|
15 |
15 |
$0.00 |
| 72072 |
|
12 |
12 |
$0.00 |
| 82261 |
|
15 |
15 |
$0.00 |
| 76870 |
|
12 |
12 |
$0.00 |
| 80069 |
|
33 |
12 |
$0.00 |
| 80143 |
|
110 |
102 |
$0.00 |
| 72110 |
|
200 |
200 |
$0.00 |
| 80202 |
|
105 |
52 |
$0.00 |
| 76882 |
|
100 |
94 |
$0.00 |
| 82140 |
|
214 |
150 |
$0.00 |
| 80074 |
|
198 |
189 |
$0.00 |
| 87653 |
|
80 |
75 |
$0.00 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
68 |
68 |
$0.00 |
| 73562 |
|
40 |
29 |
$0.00 |
| 80179 |
|
104 |
98 |
$0.00 |
| 85384 |
|
42 |
26 |
$0.00 |
| 82947 |
|
14 |
13 |
$0.00 |
| 84460 |
|
18 |
14 |
$0.00 |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
26 |
24 |
$0.00 |
| 82776 |
|
15 |
15 |
$0.00 |
| 93975 |
|
66 |
66 |
$0.00 |
| 84450 |
|
18 |
14 |
$0.00 |
| 83516 |
|
15 |
15 |
$0.00 |
| 84295 |
|
74 |
38 |
$0.00 |
| 80305 |
|
29 |
29 |
$0.00 |
| 77061 |
|
25 |
25 |
$0.00 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
26 |
26 |
$0.00 |
| 84156 |
|
48 |
45 |
$0.00 |
| 73030 |
|
14 |
12 |
$0.00 |
| 84145 |
|
19 |
16 |
$0.00 |
| 88313 |
|
46 |
42 |
$0.00 |