| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
11,767 |
10,434 |
$282K |
| 70450 |
Computed tomography, head or brain; without contrast material |
11,535 |
9,906 |
$110K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,983 |
4,783 |
$91K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
4,592 |
4,125 |
$90K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
5,901 |
5,258 |
$90K |
| 71046 |
Radiologic examination, chest; 2 views |
24,033 |
21,547 |
$69K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,551 |
1,431 |
$48K |
| 76801 |
|
2,315 |
1,971 |
$42K |
| 76642 |
|
1,787 |
1,460 |
$39K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
4,398 |
4,035 |
$36K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,678 |
1,564 |
$36K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,754 |
2,473 |
$34K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,997 |
2,847 |
$33K |
| 76830 |
Ultrasound, transvaginal |
2,669 |
2,544 |
$31K |
| 71045 |
Radiologic examination, chest; single view |
10,535 |
6,874 |
$23K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,013 |
923 |
$21K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
1,488 |
1,279 |
$20K |
| 71250 |
|
1,350 |
1,160 |
$17K |
| 93971 |
|
2,679 |
2,353 |
$16K |
| 72141 |
|
667 |
634 |
$14K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
675 |
645 |
$13K |
| 77066 |
Tomosynthesis, mammo |
612 |
524 |
$13K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,065 |
936 |
$11K |
| 70491 |
|
507 |
487 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
767 |
717 |
$10K |
| 76770 |
|
967 |
884 |
$10K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
764 |
678 |
$10K |
| 70496 |
|
427 |
392 |
$9K |
| 70486 |
|
791 |
754 |
$9K |
| 70498 |
|
404 |
369 |
$9K |
| 73221 |
|
381 |
361 |
$9K |
| 93970 |
|
942 |
837 |
$9K |
| 93976 |
|
563 |
532 |
$8K |
| 74019 |
|
2,278 |
2,052 |
$7K |
| 74018 |
|
2,511 |
1,939 |
$6K |
| 72131 |
|
433 |
394 |
$6K |
| 49083 |
|
238 |
96 |
$6K |
| 73630 |
|
2,555 |
2,249 |
$6K |
| 73610 |
|
2,269 |
2,082 |
$5K |
| 73030 |
|
1,746 |
1,537 |
$5K |
| 73130 |
|
1,635 |
1,471 |
$4K |
| 77065 |
Tomosynthesis, mammo |
273 |
217 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
265 |
253 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
370 |
219 |
$4K |
| 72100 |
|
1,171 |
1,088 |
$4K |
| 73110 |
|
1,309 |
1,163 |
$3K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
563 |
508 |
$3K |
| 76536 |
|
312 |
289 |
$3K |
| 73562 |
|
1,122 |
997 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
366 |
345 |
$3K |
| 73560 |
|
1,301 |
1,093 |
$3K |
| 76870 |
|
256 |
242 |
$2K |
| 73502 |
|
488 |
432 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
133 |
116 |
$2K |
| 73140 |
|
879 |
795 |
$2K |
| 70544 |
|
140 |
136 |
$1K |
| 73590 |
|
487 |
423 |
$1K |
| 71101 |
|
207 |
192 |
$1K |
| 72040 |
|
221 |
210 |
$933.88 |
| 74230 |
|
42 |
40 |
$488.20 |
| 73080 |
|
233 |
216 |
$458.09 |
| 72170 |
|
139 |
125 |
$435.85 |
| 73090 |
|
353 |
317 |
$427.40 |
| 99152 |
|
213 |
191 |
$337.87 |
| A9585 |
Injection, gadobutrol, 0.1 ml |
30 |
13 |
$334.69 |
| 70360 |
|
33 |
31 |
$165.60 |
| 76942 |
|
32 |
28 |
$130.74 |
| 72072 |
|
48 |
48 |
$111.55 |
| 73501 |
|
204 |
168 |
$87.76 |
| 77002 |
|
14 |
12 |
$20.06 |
| 73552 |
|
44 |
38 |
$13.15 |
| 76937 |
|
30 |
26 |
$9.57 |
| 73060 |
|
13 |
13 |
$5.99 |
| 73700 |
|
13 |
13 |
$0.00 |
| 72146 |
|
14 |
13 |
$0.00 |
| 73070 |
|
14 |
13 |
$0.00 |
| 77062 |
|
85 |
78 |
$0.00 |
| 76882 |
|
13 |
13 |
$0.00 |
| 77061 |
|
13 |
13 |
$0.00 |