| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,933 |
1,867 |
$1.55M |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
1,172 |
1,107 |
$516K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,212 |
6,046 |
$505K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
457 |
389 |
$477K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
1,851 |
1,816 |
$250K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
827 |
783 |
$249K |
| 76641 |
|
2,048 |
1,963 |
$218K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,891 |
1,832 |
$214K |
| 76830 |
Ultrasound, transvaginal |
1,488 |
1,448 |
$178K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
269 |
256 |
$142K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
322 |
304 |
$135K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,774 |
4,611 |
$134K |
| 77049 |
|
383 |
372 |
$126K |
| 77080 |
|
1,462 |
1,413 |
$103K |
| 76642 |
|
1,708 |
1,643 |
$97K |
| 77065 |
Tomosynthesis, mammo |
1,083 |
1,003 |
$78K |
| 77066 |
Tomosynthesis, mammo |
708 |
681 |
$76K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
436 |
404 |
$76K |
| 71250 |
|
413 |
381 |
$59K |
| 71046 |
Radiologic examination, chest; 2 views |
1,915 |
1,861 |
$57K |
| 72197 |
|
80 |
74 |
$55K |
| 72110 |
|
766 |
754 |
$50K |
| 76770 |
|
417 |
404 |
$49K |
| 74183 |
|
73 |
68 |
$48K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
1,446 |
1,386 |
$48K |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
931 |
880 |
$46K |
| 76536 |
|
398 |
385 |
$40K |
| 73564 |
|
896 |
644 |
$39K |
| 72141 |
|
118 |
106 |
$37K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
3,172 |
2,985 |
$34K |
| 74241 |
|
247 |
247 |
$26K |
| 73030 |
|
600 |
543 |
$24K |
| 73502 |
|
297 |
279 |
$16K |
| 77059 |
|
13 |
13 |
$14K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
319 |
262 |
$11K |
| 73562 |
|
258 |
214 |
$8K |
| OP250 |
|
274 |
240 |
$7K |
| 74240 |
|
61 |
61 |
$7K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
479 |
472 |
$5K |
| 77072 |
|
143 |
143 |
$5K |
| 73560 |
|
202 |
172 |
$4K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
702 |
653 |
$3K |
| 73610 |
|
53 |
53 |
$3K |
| 77081 |
|
120 |
94 |
$2K |
| 76775 |
|
26 |
25 |
$2K |
| 73630 |
|
56 |
46 |
$2K |
| A4648 |
Tissue marker, implantable, any type, each |
22 |
15 |
$1K |
| 73130 |
|
19 |
14 |
$1K |
| 76377 |
|
32 |
25 |
$980.33 |
| OP272 |
|
20 |
14 |
$597.14 |
| 73110 |
|
15 |
12 |
$269.69 |
| 0159T |
|
12 |
12 |
$230.67 |
| J3490 |
Unclassified drugs |
37 |
28 |
$11.62 |