| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,161 |
1,122 |
$68K |
| 76641 |
|
1,614 |
1,569 |
$64K |
| 74178 |
|
510 |
471 |
$59K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
871 |
870 |
$40K |
| 74018 |
|
3,473 |
3,401 |
$40K |
| 71046 |
Radiologic examination, chest; 2 views |
1,936 |
1,902 |
$38K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
511 |
460 |
$38K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
323 |
301 |
$36K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
740 |
738 |
$34K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
427 |
413 |
$32K |
| 76770 |
|
753 |
750 |
$28K |
| 93975 |
|
155 |
155 |
$28K |
| 76830 |
Ultrasound, transvaginal |
479 |
477 |
$23K |
| 73630 |
|
398 |
288 |
$8K |
| 72141 |
|
111 |
105 |
$8K |
| 77066 |
Tomosynthesis, mammo |
189 |
188 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
134 |
133 |
$6K |
| 71250 |
|
162 |
161 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
225 |
217 |
$6K |
| 73221 |
|
85 |
83 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
104 |
104 |
$5K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
117 |
117 |
$2K |
| 76801 |
|
42 |
42 |
$2K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
776 |
718 |
$2K |
| 70486 |
|
55 |
55 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
25 |
25 |
$1K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
193 |
177 |
$1K |
| 93880 |
|
27 |
27 |
$1K |
| 72100 |
|
53 |
53 |
$864.96 |
| 73030 |
|
65 |
48 |
$856.47 |
| 76870 |
|
12 |
12 |
$538.02 |
| 76536 |
|
12 |
12 |
$408.61 |
| 77080 |
|
70 |
70 |
$373.46 |
| 77065 |
Tomosynthesis, mammo |
24 |
24 |
$246.02 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$179.04 |
| 73560 |
|
22 |
14 |
$125.54 |
| 73562 |
|
20 |
14 |
$72.24 |
| 82565 |
|
122 |
121 |
$38.79 |