| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
18,738 |
18,726 |
$2.66M |
| 76641 |
|
22,829 |
12,907 |
$2.46M |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
2,980 |
2,928 |
$2.25M |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
7,904 |
7,895 |
$996K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
4,501 |
4,485 |
$831K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
13,259 |
13,256 |
$748K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
2,825 |
2,710 |
$560K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
2,794 |
2,790 |
$450K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,511 |
1,508 |
$382K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,189 |
2,182 |
$362K |
| 74183 |
|
1,067 |
1,065 |
$331K |
| 71250 |
|
3,083 |
3,075 |
$303K |
| 73221 |
|
1,411 |
1,386 |
$285K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
646 |
643 |
$179K |
| 71046 |
Radiologic examination, chest; 2 views |
4,753 |
4,748 |
$166K |
| 71271 |
|
982 |
982 |
$128K |
| 75574 |
|
872 |
867 |
$126K |
| 77080 |
|
2,898 |
2,880 |
$101K |
| 72197 |
|
313 |
313 |
$91K |
| 76536 |
|
541 |
540 |
$64K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,837 |
7,575 |
$58K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
2,195 |
2,182 |
$47K |
| 72141 |
|
240 |
238 |
$42K |
| 74178 |
|
135 |
132 |
$38K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
121 |
121 |
$32K |
| 77066 |
Tomosynthesis, mammo |
151 |
151 |
$27K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
234 |
234 |
$24K |
| 72110 |
|
243 |
243 |
$13K |
| A9500 |
Technetium tc-99m sestamibi, diagnostic, per study dose |
97 |
96 |
$12K |
| 73564 |
|
203 |
112 |
$10K |
| 77065 |
Tomosynthesis, mammo |
64 |
64 |
$9K |
| 77062 |
|
113 |
113 |
$7K |
| 78306 |
|
39 |
39 |
$4K |
| 91200 |
|
118 |
118 |
$4K |
| 76830 |
Ultrasound, transvaginal |
28 |
28 |
$4K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
12 |
12 |
$3K |
| 72050 |
|
51 |
51 |
$3K |
| 73562 |
|
61 |
40 |
$3K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
294 |
293 |
$2K |
| 73030 |
|
60 |
50 |
$2K |
| 72082 |
|
27 |
27 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
14 |
$2K |
| 72084 |
|
13 |
13 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$1K |
| A9581 |
Injection, gadoxetate disodium, 1 ml |
12 |
12 |
$1K |
| 76377 |
|
14 |
13 |
$730.35 |
| 73130 |
|
17 |
13 |
$708.39 |
| 77072 |
|
15 |
15 |
$427.20 |
| 93017 |
|
12 |
12 |
$239.20 |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
13 |
13 |
$61.32 |
| J1940 |
Injection, furosemide, up to 20 mg |
13 |
13 |
$6.09 |
| J7050 |
Infusion, normal saline solution, 250 cc |
12 |
12 |
$4.69 |
| 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) |
125 |
115 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
87 |
87 |
$0.00 |