| Code | Description | Claims | Beneficiaries | Total Paid |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
2,542 |
2,159 |
$600K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
3,219 |
3,058 |
$288K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
3,179 |
3,023 |
$97K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
674 |
588 |
$89K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
422 |
376 |
$76K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,418 |
1,269 |
$71K |
| 74183 |
|
303 |
269 |
$65K |
| 72197 |
|
249 |
227 |
$48K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
353 |
297 |
$47K |
| 76641 |
|
560 |
465 |
$39K |
| 76536 |
|
921 |
806 |
$34K |
| 76770 |
|
1,002 |
854 |
$34K |
| 71250 |
|
501 |
417 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
278 |
250 |
$31K |
| 72141 |
|
116 |
105 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
1,417 |
1,237 |
$14K |
| 72110 |
|
453 |
402 |
$9K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,036 |
946 |
$8K |
| 76830 |
Ultrasound, transvaginal |
128 |
120 |
$7K |
| 77080 |
|
152 |
137 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
125 |
117 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
42 |
37 |
$4K |
| 71271 |
|
51 |
46 |
$4K |
| 93971 |
|
97 |
73 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
60 |
56 |
$3K |
| 73221 |
|
16 |
13 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
43 |
37 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
27 |
$1K |
| 93970 |
|
12 |
12 |
$1K |
| 72050 |
|
44 |
42 |
$996.60 |
| 73564 |
|
58 |
40 |
$760.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
36 |
$722.41 |
| 73030 |
|
69 |
54 |
$649.20 |
| 99442 |
|
12 |
12 |
$463.68 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
163 |
154 |
$407.35 |
| 73560 |
|
24 |
23 |
$352.79 |
| 72100 |
|
14 |
14 |
$246.40 |
| 76882 |
|
14 |
13 |
$143.70 |
| 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) |
6,068 |
5,345 |
$0.00 |
| 7025F |
|
2,480 |
2,464 |
$0.00 |
| 3341F |
|
170 |
169 |
$0.00 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
439 |
382 |
$0.00 |
| 3100F |
|
29 |
25 |
$0.00 |
| 3342F |
|
999 |
996 |
$0.00 |