| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
|
43,264 |
43,189 |
$4.72M |
| 74177 |
|
26,987 |
26,682 |
$2.09M |
| 78815 |
|
1,756 |
1,222 |
$1.98M |
| 77063 |
|
34,081 |
34,005 |
$1.73M |
| 73721 |
|
14,681 |
8,083 |
$1.65M |
| 74176 |
|
22,299 |
22,041 |
$1.59M |
| 70450 |
|
46,403 |
44,585 |
$1.55M |
| 76641 |
|
14,249 |
12,880 |
$1.46M |
| 76700 |
|
17,594 |
17,563 |
$1.41M |
| 71046 |
|
101,493 |
100,646 |
$1.40M |
| 72148 |
|
12,650 |
8,221 |
$1.33M |
| 70551 |
|
11,251 |
8,322 |
$1.03M |
| 76830 |
|
15,036 |
15,008 |
$1.02M |
| 71045 |
|
141,242 |
116,347 |
$972K |
| 76805 |
|
9,941 |
9,841 |
$881K |
| 76856 |
|
14,287 |
14,249 |
$862K |
| 70553 |
|
4,435 |
2,861 |
$822K |
| 73221 |
|
7,293 |
4,221 |
$813K |
| 77066 |
Tomosynthesis, mammo |
5,575 |
5,518 |
$774K |
| 76705 |
|
25,460 |
25,109 |
$763K |
| 72141 |
|
5,589 |
3,722 |
$579K |
| 71250 |
|
7,774 |
7,671 |
$570K |
| 76536 |
|
9,876 |
9,823 |
$557K |
| 76801 |
|
5,396 |
5,300 |
$405K |
| 74178 |
|
1,437 |
1,433 |
$368K |
| 72110 |
|
8,427 |
8,380 |
$352K |
| 76815 |
|
8,813 |
8,694 |
$343K |
| 73562 |
|
18,133 |
14,027 |
$341K |
| 76770 |
|
5,043 |
5,019 |
$332K |
| 71275 |
|
4,457 |
4,427 |
$315K |
| 93970 |
|
3,646 |
3,600 |
$296K |
| 76819 |
|
6,413 |
5,236 |
$281K |
| 73030 |
|
12,181 |
10,150 |
$250K |
| 77065 |
Tomosynthesis, mammo |
2,227 |
2,177 |
$240K |
| 73630 |
|
13,420 |
10,760 |
$233K |
| 74018 |
|
19,580 |
17,782 |
$227K |
| 78226 |
|
780 |
776 |
$215K |
| 73130 |
|
9,582 |
6,946 |
$192K |
| 76816 |
|
3,199 |
3,152 |
$187K |
| 77080 |
|
5,795 |
5,789 |
$184K |
| 76642 |
|
2,616 |
2,488 |
$181K |
| 72050 |
|
4,251 |
4,242 |
$169K |
| 76817 |
|
2,132 |
2,095 |
$159K |
| 72100 |
|
7,012 |
6,998 |
$140K |
| 93971 |
|
4,930 |
4,859 |
$136K |
| 71271 |
|
1,054 |
1,053 |
$124K |
| 72125 |
|
3,765 |
3,743 |
$119K |
| 73610 |
|
6,473 |
5,601 |
$111K |
| A9575 |
Inj gadoterate meglumi 0.1ml |
4,074 |
4,022 |
$99K |
| A9552 |
F18 fdg |
1,032 |
1,029 |
$92K |
| 76870 |
|
1,510 |
1,505 |
$83K |
| 49083 |
|
683 |
556 |
$83K |
| 78452 |
|
1,237 |
1,236 |
$79K |
| 72197 |
|
384 |
239 |
$76K |
| 76775 |
|
1,626 |
1,619 |
$74K |
| 76857 |
|
3,234 |
3,191 |
$73K |
| 73110 |
|
3,583 |
2,931 |
$73K |
| 70496 |
|
1,116 |
1,095 |
$73K |
| 73502 |
|
2,467 |
2,409 |
$72K |
| 73522 |
|
1,684 |
1,682 |
$71K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
7,034 |
7,006 |
$71K |
| 71260 |
|
1,572 |
1,556 |
$71K |
| 72072 |
|
1,959 |
1,956 |
$61K |
| 76882 |
|
2,186 |
1,978 |
$60K |
| 93975 |
|
673 |
668 |
$57K |
| 74183 |
|
245 |
154 |
$56K |
| 72040 |
|
2,127 |
2,125 |
$51K |
| 72070 |
|
1,823 |
1,811 |
$51K |
| 70498 |
|
1,025 |
1,013 |
$49K |
| 73080 |
|
1,949 |
1,536 |
$46K |
| 72146 |
|
463 |
300 |
$45K |
| 72081 |
|
1,253 |
1,253 |
$44K |
| 73564 |
|
1,343 |
988 |
$34K |
| 73560 |
|
1,777 |
1,318 |
$33K |
| 19083 |
|
57 |
53 |
$32K |
| A9537 |
Tc99m mebrofenin |
740 |
734 |
$31K |
| 93880 |
|
222 |
222 |
$25K |
| 78227 |
|
57 |
57 |
$23K |
| 70544 |
|
196 |
136 |
$21K |
| 73590 |
|
1,417 |
1,178 |
$21K |
| 72131 |
|
230 |
229 |
$20K |
| 74170 |
|
109 |
105 |
$20K |
| 70220 |
|
617 |
615 |
$19K |
| 73120 |
|
1,050 |
736 |
$18K |
| 74240 |
|
159 |
158 |
$17K |
| 74150 |
|
146 |
146 |
$17K |
| 73718 |
|
127 |
80 |
$17K |
| 70486 |
|
426 |
426 |
$17K |
| 78014 |
|
67 |
67 |
$15K |
| 73700 |
|
125 |
115 |
$13K |
| 10005 |
|
108 |
108 |
$12K |
| A9516 |
Iodine i-123 sod iodide mic |
61 |
60 |
$12K |
| 73620 |
|
738 |
557 |
$12K |
| 78264 |
|
33 |
31 |
$10K |
| 77062 |
|
215 |
215 |
$9K |
| 99152 |
|
265 |
249 |
$8K |
| 74181 |
|
143 |
135 |
$8K |
| 93925 |
|
113 |
113 |
$8K |
| 74246 |
|
56 |
56 |
$6K |
| 76937 |
|
364 |
331 |
$6K |
| G0297 |
Ldct for lung ca screen |
26 |
26 |
$6K |
| 77001 |
|
265 |
256 |
$6K |
| 73552 |
|
204 |
154 |
$6K |
| 70360 |
|
299 |
298 |
$6K |
| 77012 |
|
70 |
64 |
$5K |
| 72114 |
|
108 |
108 |
$5K |
| 73090 |
|
559 |
521 |
$5K |
| 76000 |
|
1,057 |
1,047 |
$5K |
| 36573 |
|
13 |
13 |
$5K |
| 73100 |
|
258 |
183 |
$5K |
| 36558 |
|
37 |
37 |
$4K |
| 72156 |
|
20 |
13 |
$4K |
| 77073 |
|
125 |
123 |
$4K |
| 78454 |
|
180 |
180 |
$4K |
| 71020 |
|
414 |
221 |
$3K |
| A9500 |
Tc99m sestamibi |
38 |
38 |
$3K |
| 75571 |
|
37 |
37 |
$3K |
| 73140 |
|
404 |
396 |
$3K |
| 72082 |
|
52 |
52 |
$3K |
| 77072 |
|
127 |
127 |
$3K |
| 77002 |
|
28 |
28 |
$2K |
| 73200 |
|
14 |
12 |
$2K |
| 36556 |
|
29 |
27 |
$2K |
| 78306 |
|
12 |
12 |
$2K |
| 71101 |
|
102 |
102 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
140 |
107 |
$1K |
| 73600 |
|
66 |
56 |
$1K |
| 76706 |
|
12 |
12 |
$1K |
| 72202 |
|
40 |
40 |
$1K |
| 72220 |
|
46 |
46 |
$1K |
| 71270 |
|
12 |
12 |
$1K |
| 70491 |
|
24 |
24 |
$1K |
| 77061 |
|
29 |
29 |
$1K |
| 73521 |
|
26 |
26 |
$969.28 |
| 73070 |
|
35 |
28 |
$938.17 |
| 32555 |
|
14 |
12 |
$780.00 |
| 74021 |
|
62 |
61 |
$772.42 |
| 73060 |
|
43 |
39 |
$736.24 |
| G9637 |
Doc >1 dose reduc tech |
5,545 |
5,435 |
$709.15 |
| 74230 |
|
80 |
79 |
$702.49 |
| 20610 |
|
12 |
12 |
$675.67 |
| 3341F |
|
2,159 |
2,158 |
$600.00 |
| 72052 |
|
12 |
12 |
$582.20 |
| 74019 |
|
18 |
18 |
$561.75 |
| A9541 |
Tc99m sulfur colloid |
14 |
13 |
$536.28 |
| 70260 |
|
14 |
14 |
$498.72 |
| 76604 |
|
12 |
12 |
$451.47 |
| A9503 |
Tc99m medronate |
36 |
36 |
$451.31 |
| G0279 |
Tomosynthesis, mammo |
14 |
14 |
$421.82 |
| 70250 |
|
12 |
12 |
$336.79 |
| 93017 |
|
15 |
15 |
$330.68 |
| 73565 |
|
14 |
14 |
$254.97 |
| 7025F |
|
15,230 |
15,225 |
$231.85 |
| A9576 |
Inj prohance multipack |
12 |
12 |
$207.17 |
| 71010 |
|
32 |
30 |
$206.18 |
| J3301 |
Triamcinolone acet inj nos |
14 |
12 |
$166.32 |
| J3010 |
Fentanyl citrate injection |
79 |
76 |
$67.85 |
| 3342F |
|
1,574 |
1,574 |
$60.00 |
| J2250 |
Inj midazolam hydrochloride |
100 |
93 |
$35.57 |
| G9754 |
Incid pulm nodule |
29 |
29 |
$0.00 |
| 6030F |
|
12 |
12 |
$0.00 |
| G9638 |
No doc >1 dose reduc tech |
179 |
179 |
$0.00 |
| G9321 |
Prev ct nuc med cnt doc 12mo |
1,060 |
1,053 |
$0.00 |
| 3340F |
|
111 |
111 |
$0.00 |
| G9347 |
No follow up pulm nod norsn |
24 |
24 |
$0.00 |
| G9322 |
No cnt ct nuc med doc 12mo |
120 |
120 |
$0.00 |
| G9500 |
Rad expos ind/exp tm doc |
78 |
77 |
$0.00 |