| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
3,547 |
3,206 |
$676K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,587 |
3,874 |
$354K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
390 |
323 |
$159K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,073 |
3,392 |
$139K |
| 76830 |
Ultrasound, transvaginal |
1,637 |
1,332 |
$123K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,465 |
1,249 |
$101K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
160 |
138 |
$44K |
| 72141 |
|
208 |
196 |
$41K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,539 |
1,113 |
$40K |
| 76642 |
|
738 |
566 |
$38K |
| 72100 |
|
1,384 |
1,189 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
1,051 |
914 |
$14K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
32 |
26 |
$10K |
| 71250 |
|
95 |
90 |
$5K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
135 |
104 |
$3K |
| 73221 |
|
13 |
12 |
$3K |
| 73562 |
|
99 |
88 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
15 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
31 |
26 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
12 |
12 |
$894.01 |
| 77065 |
Tomosynthesis, mammo |
16 |
13 |
$737.32 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
107 |
92 |
$635.57 |
| 73030 |
|
35 |
30 |
$563.03 |
| 72040 |
|
30 |
24 |
$554.08 |