| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76641 |
|
12,037 |
9,900 |
$1.52M |
| 77066 |
Tomosynthesis, mammo |
6,776 |
5,769 |
$934K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
8,240 |
6,857 |
$895K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,519 |
3,690 |
$406K |
| 76830 |
Ultrasound, transvaginal |
4,444 |
3,674 |
$405K |
| 76536 |
|
4,560 |
3,883 |
$378K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,802 |
1,485 |
$327K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,369 |
1,062 |
$268K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
659 |
486 |
$209K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
2,278 |
1,890 |
$187K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
559 |
401 |
$151K |
| 76770 |
|
1,646 |
1,373 |
$136K |
| 77080 |
|
2,984 |
2,580 |
$92K |
| 71046 |
Radiologic examination, chest; 2 views |
3,730 |
3,197 |
$91K |
| 72100 |
|
2,986 |
2,539 |
$89K |
| 73560 |
|
3,125 |
1,903 |
$77K |
| 72040 |
|
1,859 |
1,534 |
$54K |
| 76881 |
|
770 |
535 |
$54K |
| 74178 |
|
173 |
137 |
$54K |
| 73030 |
|
1,610 |
1,125 |
$42K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
210 |
100 |
$41K |
| 72084 |
|
461 |
447 |
$30K |
| 71045 |
Radiologic examination, chest; single view |
1,473 |
1,201 |
$30K |
| 73620 |
|
1,295 |
880 |
$28K |
| 77065 |
Tomosynthesis, mammo |
311 |
286 |
$27K |
| 72141 |
|
142 |
123 |
$26K |
| 74018 |
|
1,159 |
946 |
$24K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
226 |
219 |
$20K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
1,342 |
937 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
115 |
88 |
$20K |
| 73221 |
|
87 |
55 |
$18K |
| 73120 |
|
719 |
434 |
$17K |
| 71250 |
|
127 |
105 |
$17K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
943 |
737 |
$15K |
| 72070 |
|
520 |
358 |
$14K |
| Q9965 |
Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml |
113 |
82 |
$8K |
| 72110 |
|
227 |
217 |
$8K |
| 73562 |
|
150 |
79 |
$5K |
| 77049 |
|
18 |
12 |
$5K |
| 77059 |
|
13 |
13 |
$4K |
| 70220 |
|
136 |
115 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
24 |
24 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$2K |
| 72050 |
|
26 |
26 |
$777.13 |
| 73070 |
|
30 |
25 |
$556.43 |
| 74220 |
|
12 |
12 |
$482.06 |
| 76857 |
|
12 |
12 |
$478.44 |
| 73600 |
|
15 |
12 |
$386.70 |
| 73521 |
|
12 |
12 |
$348.94 |
| 73100 |
|
14 |
12 |
$262.29 |