| Code | Description | Claims | Beneficiaries | Total Paid |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,356 |
1,337 |
$364K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,269 |
1,256 |
$270K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
850 |
809 |
$249K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
587 |
584 |
$165K |
| 72141 |
|
455 |
454 |
$128K |
| 74183 |
|
204 |
203 |
$90K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
733 |
728 |
$68K |
| 73221 |
|
221 |
214 |
$60K |
| 76536 |
|
970 |
950 |
$58K |
| 76770 |
|
891 |
880 |
$54K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
701 |
700 |
$53K |
| 76830 |
Ultrasound, transvaginal |
646 |
642 |
$42K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
156 |
156 |
$33K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
510 |
508 |
$26K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
3,842 |
3,730 |
$26K |
| 71250 |
|
282 |
282 |
$25K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
732 |
727 |
$25K |
| 84443 |
Thyroid stimulating hormone (TSH) |
993 |
984 |
$23K |
| 80053 |
Comprehensive metabolic panel |
1,340 |
1,305 |
$15K |
| 77080 |
|
283 |
281 |
$15K |
| 72158 |
|
53 |
52 |
$14K |
| 72156 |
|
53 |
52 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
778 |
759 |
$14K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
349 |
347 |
$14K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
111 |
109 |
$12K |
| 80061 |
Lipid panel |
830 |
826 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,313 |
1,273 |
$8K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
768 |
754 |
$7K |
| 72146 |
|
31 |
31 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
43 |
43 |
$6K |
| 72110 |
|
168 |
167 |
$5K |
| 73718 |
|
15 |
14 |
$5K |
| 74018 |
|
255 |
246 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,829 |
1,814 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,550 |
2,410 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
495 |
494 |
$3K |
| 82607 |
|
256 |
256 |
$3K |
| 85027 |
|
439 |
429 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
365 |
350 |
$3K |
| 84439 |
|
423 |
421 |
$3K |
| 73030 |
|
135 |
122 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
29 |
$3K |
| 86618 |
|
100 |
100 |
$2K |
| 82728 |
|
194 |
194 |
$2K |
| 73630 |
|
130 |
110 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
269 |
265 |
$2K |
| 83540 |
|
228 |
227 |
$2K |
| 93970 |
|
13 |
12 |
$2K |
| 73564 |
|
61 |
46 |
$2K |
| 72070 |
|
61 |
60 |
$1K |
| 82570 |
|
201 |
183 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
45 |
44 |
$1K |
| 72050 |
|
40 |
40 |
$1K |
| 71271 |
|
12 |
12 |
$1K |
| 84702 |
|
73 |
61 |
$1K |
| 72100 |
|
41 |
41 |
$1K |
| 83970 |
|
27 |
27 |
$1K |
| 84403 |
|
42 |
42 |
$1K |
| 82746 |
|
95 |
95 |
$1K |
| 81001 |
|
396 |
384 |
$1K |
| 70486 |
|
12 |
12 |
$965.56 |
| 82043 |
|
127 |
119 |
$949.02 |
| 83550 |
|
186 |
186 |
$937.33 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15 |
15 |
$925.67 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$922.12 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$886.09 |
| 93971 |
|
13 |
13 |
$832.80 |
| 85652 |
|
271 |
267 |
$790.10 |
| 86803 |
|
38 |
38 |
$759.62 |
| 76870 |
|
12 |
12 |
$680.70 |
| 83735 |
|
95 |
93 |
$665.66 |
| 82784 |
|
34 |
34 |
$632.97 |
| 86140 |
|
215 |
212 |
$618.97 |
| 84153 |
|
25 |
25 |
$603.36 |
| 73523 |
|
15 |
15 |
$496.32 |
| 85610 |
|
116 |
107 |
$445.08 |
| 83520 |
|
31 |
31 |
$441.34 |
| 86038 |
|
30 |
30 |
$427.95 |
| 73502 |
|
14 |
14 |
$404.02 |
| 86317 |
|
16 |
16 |
$344.98 |
| 84146 |
|
13 |
12 |
$311.14 |
| 82248 |
|
43 |
36 |
$304.03 |
| 84481 |
|
12 |
12 |
$292.13 |
| 87340 |
|
15 |
15 |
$220.70 |
| 83001 |
|
12 |
12 |
$218.46 |
| 86039 |
|
13 |
13 |
$204.45 |
| 82533 |
|
15 |
15 |
$184.96 |
| 83525 |
|
12 |
12 |
$127.27 |
| 86431 |
|
15 |
15 |
$123.12 |
| 85730 |
|
12 |
12 |
$94.56 |
| 82565 |
|
12 |
12 |
$74.91 |
| 81003 |
|
24 |
24 |
$67.89 |
| 83690 |
|
12 |
12 |
$53.62 |
| 86592 |
|
12 |
12 |
$50.88 |