| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
4,451 |
4,022 |
$1.15M |
| 72141 |
|
2,719 |
2,459 |
$716K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,630 |
2,823 |
$695K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,035 |
938 |
$423K |
| 73221 |
|
2,022 |
1,686 |
$374K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,420 |
1,273 |
$363K |
| 72146 |
|
976 |
882 |
$296K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,279 |
2,257 |
$253K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
2,257 |
2,188 |
$235K |
| 76830 |
Ultrasound, transvaginal |
1,769 |
1,641 |
$135K |
| 76801 |
|
1,033 |
986 |
$79K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
786 |
740 |
$61K |
| 76642 |
|
857 |
761 |
$61K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
756 |
735 |
$52K |
| 76536 |
|
537 |
500 |
$39K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
593 |
569 |
$38K |
| 72100 |
|
1,438 |
1,355 |
$38K |
| 71046 |
Radiologic examination, chest; 2 views |
1,257 |
1,177 |
$34K |
| 71250 |
|
218 |
194 |
$31K |
| 77066 |
Tomosynthesis, mammo |
240 |
228 |
$30K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
374 |
351 |
$28K |
| 72040 |
|
861 |
810 |
$19K |
| 73030 |
|
866 |
723 |
$17K |
| 73562 |
|
816 |
592 |
$16K |
| 73718 |
|
71 |
58 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
62 |
57 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
80 |
71 |
$11K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,197 |
1,122 |
$10K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
145 |
139 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
68 |
64 |
$5K |
| 72110 |
|
137 |
117 |
$5K |
| 72070 |
|
211 |
195 |
$4K |
| 74178 |
|
15 |
12 |
$4K |
| 73502 |
|
76 |
70 |
$2K |
| 73130 |
|
108 |
77 |
$2K |
| 70486 |
|
12 |
12 |
$2K |
| 73630 |
|
104 |
77 |
$1K |
| 76641 |
|
14 |
12 |
$1K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,205 |
2,196 |
$1K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
2,231 |
2,185 |
$937.87 |
| 77080 |
|
12 |
12 |
$441.58 |
| 72050 |
|
14 |
12 |
$406.20 |
| 73610 |
|
15 |
12 |
$376.83 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
360 |
346 |
$149.10 |
| 76376 |
|
368 |
365 |
$0.00 |
| 77062 |
|
72 |
70 |
$0.00 |
| 76377 |
|
12 |
12 |
$0.00 |