| Code | Description | Claims | Beneficiaries | Total Paid |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,702 |
2,784 |
$559K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,317 |
1,313 |
$153K |
| 73221 |
|
439 |
270 |
$54K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
439 |
366 |
$37K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
95 |
64 |
$25K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
149 |
117 |
$21K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
436 |
363 |
$14K |
| 72141 |
|
207 |
129 |
$11K |
| 72110 |
|
365 |
289 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
451 |
388 |
$9K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
400 |
271 |
$7K |
| 93976 |
|
45 |
37 |
$5K |
| 76830 |
Ultrasound, transvaginal |
29 |
24 |
$2K |
| G9637 |
Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
441 |
365 |
$1K |
| 76536 |
|
18 |
12 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$972.18 |
| 72082 |
|
14 |
12 |
$595.10 |
| G1011 |
Clinical decision support mechanism, qualified tool not otherwise specified, as defined by the medicare appropriate use criteria program |
5,340 |
4,221 |
$519.05 |
| 72050 |
|
20 |
14 |
$483.44 |
| 73562 |
|
20 |
12 |
$445.92 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
151 |
143 |
$355.46 |
| 74018 |
|
22 |
15 |
$329.41 |
| 73030 |
|
36 |
12 |
$307.73 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
14 |
$161.22 |
| 99072 |
|
726 |
604 |
$101.40 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
213 |
163 |
$33.21 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
44 |
37 |
$13.46 |
| 7025F |
|
243 |
203 |
$0.00 |
| 3341F |
|
35 |
26 |
$0.00 |