| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
36,790 |
36,207 |
$2.41M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17,598 |
17,248 |
$1.71M |
| 70450 |
Computed tomography, head or brain; without contrast material |
47,699 |
46,217 |
$1.21M |
| 71045 |
Radiologic examination, chest; single view |
148,388 |
123,859 |
$835K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14,181 |
13,892 |
$589K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
9,787 |
9,595 |
$545K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
15,449 |
15,101 |
$537K |
| 76830 |
Ultrasound, transvaginal |
10,662 |
10,422 |
$460K |
| 71046 |
Radiologic examination, chest; 2 views |
54,663 |
54,088 |
$419K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
5,676 |
5,612 |
$334K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17,986 |
17,842 |
$322K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
5,438 |
5,323 |
$266K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,499 |
4,373 |
$260K |
| 76770 |
|
8,749 |
8,672 |
$241K |
| 77066 |
Tomosynthesis, mammo |
1,796 |
1,761 |
$224K |
| 76642 |
|
2,510 |
2,298 |
$179K |
| 76641 |
|
1,159 |
1,004 |
$117K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
994 |
981 |
$92K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
429 |
428 |
$89K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,247 |
3,208 |
$85K |
| 99053 |
|
13,455 |
10,842 |
$72K |
| 93975 |
|
749 |
747 |
$61K |
| 72100 |
|
6,395 |
6,375 |
$51K |
| 74018 |
|
8,318 |
7,645 |
$45K |
| 73630 |
|
7,458 |
7,038 |
$44K |
| 49083 |
|
582 |
455 |
$44K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,423 |
1,404 |
$41K |
| 77062 |
|
941 |
938 |
$39K |
| 77080 |
|
1,636 |
1,593 |
$36K |
| 73562 |
|
6,339 |
5,755 |
$33K |
| 71250 |
|
1,093 |
1,080 |
$31K |
| 73030 |
|
4,206 |
3,977 |
$28K |
| 76536 |
|
775 |
748 |
$26K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
258 |
255 |
$23K |
| 73130 |
|
3,682 |
3,414 |
$22K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
673 |
664 |
$22K |
| 77065 |
Tomosynthesis, mammo |
250 |
238 |
$21K |
| 73610 |
|
2,910 |
2,793 |
$17K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
529 |
527 |
$17K |
| 99152 |
|
550 |
535 |
$13K |
| 70496 |
|
143 |
143 |
$8K |
| 70498 |
|
152 |
152 |
$8K |
| 71020 |
|
753 |
388 |
$6K |
| 73110 |
|
792 |
740 |
$4K |
| 73502 |
|
540 |
471 |
$4K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
86 |
86 |
$4K |
| 72040 |
|
417 |
416 |
$3K |
| 71010 |
|
432 |
246 |
$3K |
| 76942 |
|
120 |
120 |
$2K |
| 70486 |
|
67 |
66 |
$2K |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
17 |
15 |
$2K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
42 |
42 |
$1K |
| 99153 |
Mod sedat endo service >5yrs |
146 |
145 |
$1K |
| 70544 |
|
41 |
40 |
$1K |
| 72141 |
|
12 |
12 |
$994.50 |
| 32555 |
|
12 |
12 |
$808.56 |
| 76801 |
|
25 |
25 |
$721.29 |
| 73590 |
|
151 |
142 |
$718.60 |
| 93976 |
|
21 |
21 |
$698.19 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
96 |
96 |
$686.70 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
31 |
26 |
$686.12 |
| 76870 |
|
25 |
25 |
$643.35 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
17 |
17 |
$546.17 |
| 72072 |
|
61 |
61 |
$507.44 |
| 73560 |
|
136 |
111 |
$499.44 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
36 |
36 |
$410.07 |
| 73700 |
|
13 |
13 |
$325.11 |
| 73080 |
|
54 |
50 |
$323.60 |
| 72050 |
|
17 |
17 |
$214.91 |
| 75571 |
|
12 |
12 |
$210.20 |
| 74230 |
|
24 |
24 |
$169.20 |
| 73090 |
|
13 |
12 |
$84.32 |
| 72170 |
|
13 |
13 |
$56.23 |
| 73140 |
|
12 |
12 |
$38.42 |
| 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) |
38 |
38 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
13 |
13 |
$0.00 |