| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,761 |
1,841 |
$261K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,253 |
920 |
$184K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,636 |
1,424 |
$144K |
| 76830 |
Ultrasound, transvaginal |
1,652 |
1,412 |
$127K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,657 |
1,420 |
$108K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
1,131 |
997 |
$106K |
| 72141 |
|
918 |
639 |
$97K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
452 |
353 |
$65K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,606 |
1,403 |
$60K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
156 |
126 |
$42K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
429 |
385 |
$37K |
| 73221 |
|
350 |
211 |
$34K |
| 76642 |
|
621 |
422 |
$29K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
369 |
290 |
$26K |
| 76536 |
|
281 |
237 |
$18K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
234 |
211 |
$15K |
| 76801 |
|
232 |
151 |
$14K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
229 |
183 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
354 |
315 |
$8K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
285 |
251 |
$7K |
| 72146 |
|
34 |
27 |
$5K |
| 76813 |
|
71 |
50 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
401 |
326 |
$4K |
| 76819 |
Fetal biophysical profile; without non-stress testing |
52 |
42 |
$4K |
| 76377 |
|
155 |
97 |
$3K |
| 77066 |
Tomosynthesis, mammo |
51 |
24 |
$2K |
| 70486 |
|
17 |
12 |
$2K |
| 77062 |
|
51 |
24 |
$908.38 |
| 72110 |
|
12 |
12 |
$449.62 |
| 7025F |
|
513 |
459 |
$0.00 |
| 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 |
314 |
283 |
$0.00 |
| 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) |
479 |
405 |
$0.00 |
| 3341F |
|
45 |
39 |
$0.00 |
| INVCD |
|
38 |
28 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
465 |
407 |
$0.00 |
| 3342F |
|
12 |
12 |
$0.00 |