| Code | Description | Claims | Beneficiaries | Total Paid |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
4,393 |
2,473 |
$5.19M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,982 |
6,971 |
$987K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
2,150 |
2,144 |
$787K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,781 |
1,563 |
$347K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,527 |
1,239 |
$341K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,591 |
3,587 |
$331K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,425 |
736 |
$314K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
907 |
902 |
$281K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
8,623 |
4,824 |
$266K |
| 76642 |
|
2,034 |
1,775 |
$182K |
| 71046 |
Radiologic examination, chest; 2 views |
5,710 |
5,684 |
$172K |
| 77065 |
Tomosynthesis, mammo |
1,042 |
1,022 |
$135K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,659 |
1,656 |
$129K |
| 77066 |
Tomosynthesis, mammo |
674 |
672 |
$115K |
| 73221 |
|
824 |
418 |
$110K |
| 72141 |
|
776 |
425 |
$108K |
| 76830 |
Ultrasound, transvaginal |
1,368 |
1,364 |
$107K |
| 72110 |
|
2,107 |
2,102 |
$105K |
| 76770 |
|
825 |
823 |
$74K |
| 76536 |
|
1,038 |
1,038 |
$70K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
878 |
853 |
$57K |
| 73562 |
|
2,115 |
1,692 |
$57K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
236 |
234 |
$55K |
| 77062 |
|
415 |
415 |
$52K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
317 |
166 |
$48K |
| 73630 |
|
1,221 |
1,010 |
$34K |
| 73030 |
|
1,080 |
952 |
$32K |
| 72050 |
|
593 |
589 |
$28K |
| 74178 |
|
66 |
66 |
$24K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
680 |
619 |
$21K |
| 77080 |
|
465 |
465 |
$21K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
3,018 |
2,972 |
$19K |
| 72072 |
|
500 |
496 |
$18K |
| 73130 |
|
594 |
454 |
$17K |
| 77061 |
|
187 |
187 |
$17K |
| 73610 |
|
480 |
434 |
$14K |
| 74018 |
|
345 |
343 |
$10K |
| 73502 |
|
217 |
216 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
43 |
42 |
$8K |
| 73110 |
|
272 |
246 |
$8K |
| 71250 |
|
34 |
34 |
$5K |
| 93971 |
|
43 |
42 |
$4K |
| 72158 |
|
19 |
12 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
42 |
42 |
$3K |
| 76870 |
|
36 |
36 |
$3K |
| 74246 |
|
14 |
14 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
14 |
14 |
$2K |
| 74221 |
|
12 |
12 |
$1K |
| 93925 |
|
13 |
13 |
$1K |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
25 |
25 |
$1K |
| 73080 |
|
17 |
16 |
$552.16 |
| 73560 |
|
21 |
15 |
$475.23 |
| 72100 |
|
13 |
13 |
$433.12 |
| 72040 |
|
15 |
15 |
$422.36 |
| 72220 |
|
13 |
13 |
$372.33 |
| 71020 |
|
14 |
14 |
$334.34 |
| 71045 |
Radiologic examination, chest; single view |
13 |
13 |
$280.97 |