| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
876 |
812 |
$145K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,416 |
1,311 |
$118K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,447 |
2,296 |
$108K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
485 |
409 |
$92K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,950 |
1,730 |
$67K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
859 |
807 |
$60K |
| 71046 |
Radiologic examination, chest; 2 views |
2,808 |
2,545 |
$27K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
251 |
222 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
617 |
569 |
$26K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
154 |
146 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
3,466 |
2,483 |
$23K |
| 72141 |
|
126 |
119 |
$23K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
45 |
39 |
$14K |
| 73221 |
|
82 |
63 |
$13K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
104 |
102 |
$11K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
155 |
141 |
$7K |
| 76641 |
|
106 |
87 |
$7K |
| 76801 |
|
54 |
53 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
44 |
42 |
$3K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
136 |
122 |
$2K |
| 70486 |
|
45 |
41 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
15 |
12 |
$2K |
| 93971 |
|
46 |
42 |
$2K |
| 76642 |
|
31 |
24 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$897.55 |
| 76770 |
|
15 |
14 |
$886.83 |
| 77080 |
|
24 |
24 |
$652.65 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
14 |
$649.70 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
64 |
55 |
$423.53 |
| 72100 |
|
45 |
37 |
$381.18 |
| 73630 |
|
31 |
26 |
$311.19 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
158 |
148 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
108 |
90 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
16 |
12 |
$0.00 |
| 99072 |
|
67 |
64 |
$0.00 |