| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,733 |
5,684 |
$678K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
316 |
315 |
$544K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
3,626 |
1,717 |
$470K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,095 |
1,269 |
$462K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,352 |
712 |
$326K |
| 73221 |
|
2,038 |
893 |
$305K |
| 72141 |
|
1,917 |
911 |
$261K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,544 |
815 |
$238K |
| 76642 |
|
2,210 |
2,146 |
$204K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,518 |
2,499 |
$193K |
| 74178 |
|
589 |
586 |
$186K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,664 |
2,641 |
$173K |
| 77066 |
Tomosynthesis, mammo |
1,182 |
1,171 |
$168K |
| 71250 |
|
601 |
601 |
$164K |
| 71046 |
Radiologic examination, chest; 2 views |
6,138 |
6,062 |
$156K |
| 76830 |
Ultrasound, transvaginal |
2,339 |
2,318 |
$152K |
| 74183 |
|
394 |
183 |
$131K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
420 |
412 |
$126K |
| 70450 |
Computed tomography, head or brain; without contrast material |
413 |
409 |
$125K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
351 |
344 |
$108K |
| 72197 |
|
345 |
160 |
$104K |
| 70486 |
|
290 |
289 |
$98K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,379 |
1,356 |
$78K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
257 |
254 |
$74K |
| 77065 |
Tomosynthesis, mammo |
623 |
607 |
$71K |
| 76536 |
|
1,263 |
1,243 |
$70K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
706 |
695 |
$66K |
| 73630 |
|
2,843 |
2,075 |
$64K |
| 73562 |
|
3,003 |
2,096 |
$64K |
| 72100 |
|
2,123 |
2,102 |
$59K |
| 76770 |
|
765 |
750 |
$58K |
| 93975 |
|
310 |
309 |
$57K |
| 73718 |
|
230 |
114 |
$56K |
| 93970 |
|
358 |
356 |
$54K |
| 72146 |
|
404 |
184 |
$54K |
| 76641 |
|
326 |
313 |
$50K |
| 73030 |
|
2,017 |
1,647 |
$48K |
| 19083 |
|
87 |
86 |
$46K |
| 73130 |
|
1,726 |
1,212 |
$40K |
| 72110 |
|
985 |
975 |
$39K |
| 70480 |
|
111 |
111 |
$37K |
| 77049 |
|
59 |
56 |
$37K |
| 72158 |
|
147 |
65 |
$36K |
| 70491 |
|
99 |
97 |
$33K |
| 72050 |
|
816 |
809 |
$31K |
| 73610 |
|
1,246 |
1,033 |
$30K |
| 72131 |
|
98 |
97 |
$30K |
| 93976 |
|
194 |
192 |
$28K |
| 74247 |
|
218 |
218 |
$27K |
| 71270 |
|
85 |
84 |
$26K |
| 73110 |
|
1,043 |
828 |
$25K |
| 72156 |
|
99 |
33 |
$22K |
| 74170 |
|
68 |
68 |
$21K |
| 93971 |
|
284 |
276 |
$21K |
| 77080 |
|
559 |
557 |
$21K |
| 76775 |
|
472 |
468 |
$20K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
246 |
237 |
$20K |
| 93880 |
|
150 |
149 |
$20K |
| 73700 |
|
64 |
61 |
$19K |
| 76801 |
|
241 |
232 |
$19K |
| 76870 |
|
320 |
318 |
$19K |
| 70544 |
|
77 |
41 |
$17K |
| 73502 |
|
471 |
467 |
$16K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
45 |
44 |
$16K |
| 73218 |
|
62 |
28 |
$16K |
| 74150 |
|
52 |
52 |
$15K |
| 72070 |
|
517 |
510 |
$14K |
| 73522 |
|
321 |
318 |
$14K |
| 70470 |
|
41 |
41 |
$13K |
| 74018 |
|
553 |
543 |
$13K |
| 72040 |
|
544 |
536 |
$13K |
| 74181 |
|
54 |
28 |
$13K |
| 73560 |
|
701 |
462 |
$12K |
| 93925 |
|
156 |
154 |
$12K |
| 76882 |
|
464 |
430 |
$12K |
| 73080 |
|
465 |
383 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
174 |
174 |
$11K |
| 70543 |
|
32 |
15 |
$11K |
| 72072 |
|
303 |
301 |
$9K |
| 72195 |
|
28 |
14 |
$8K |
| 74220 |
|
180 |
178 |
$6K |
| 73120 |
|
341 |
193 |
$6K |
| 73620 |
|
331 |
207 |
$5K |
| 73590 |
|
264 |
203 |
$5K |
| 73564 |
|
175 |
137 |
$5K |
| 72081 |
|
132 |
130 |
$4K |
| 70220 |
|
135 |
135 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
227 |
225 |
$4K |
| 72082 |
|
65 |
65 |
$4K |
| 73100 |
|
207 |
126 |
$4K |
| 73523 |
|
73 |
71 |
$3K |
| 70030 |
|
108 |
106 |
$3K |
| 72202 |
|
94 |
92 |
$3K |
| 73140 |
|
168 |
160 |
$3K |
| 72220 |
|
104 |
101 |
$3K |
| 78306 |
|
18 |
18 |
$2K |
| 73552 |
|
78 |
60 |
$2K |
| 72114 |
|
35 |
35 |
$2K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
482 |
439 |
$2K |
| 73090 |
|
86 |
80 |
$2K |
| 73600 |
|
84 |
63 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
16 |
16 |
$821.12 |
| 77072 |
|
37 |
37 |
$720.39 |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
46 |
45 |
$712.80 |
| 73521 |
|
20 |
20 |
$705.60 |
| 76857 |
|
16 |
15 |
$543.55 |
| 71101 |
|
16 |
16 |
$457.56 |
| 74019 |
|
12 |
12 |
$357.60 |
| 73070 |
|
17 |
12 |
$349.69 |
| 73000 |
|
16 |
13 |
$329.12 |
| 73060 |
|
15 |
15 |
$287.98 |
| 73565 |
|
13 |
13 |
$244.79 |
| 70360 |
|
14 |
14 |
$239.82 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
114 |
113 |
$61.58 |