| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,246 |
5,181 |
$146K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,284 |
2,249 |
$133K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
5,053 |
4,964 |
$100K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
4,930 |
4,806 |
$99K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
1,540 |
1,421 |
$94K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
3,336 |
3,292 |
$77K |
| 76642 |
|
3,724 |
2,601 |
$74K |
| 71046 |
Radiologic examination, chest; 2 views |
7,611 |
7,365 |
$61K |
| 76830 |
Ultrasound, transvaginal |
2,982 |
2,908 |
$47K |
| 72100 |
|
4,096 |
3,980 |
$36K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,735 |
4,695 |
$34K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,752 |
1,717 |
$28K |
| 72141 |
|
433 |
428 |
$25K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
276 |
269 |
$25K |
| 73030 |
|
3,323 |
2,879 |
$23K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
491 |
487 |
$21K |
| 73562 |
|
3,395 |
2,709 |
$20K |
| 73221 |
|
357 |
345 |
$19K |
| 76770 |
|
926 |
905 |
$18K |
| 72040 |
|
2,135 |
2,087 |
$17K |
| 74178 |
|
189 |
180 |
$16K |
| 76536 |
|
998 |
979 |
$15K |
| 77066 |
Tomosynthesis, mammo |
659 |
652 |
$13K |
| 73630 |
|
1,726 |
1,456 |
$12K |
| 74018 |
|
1,228 |
1,200 |
$11K |
| 72070 |
|
1,174 |
1,152 |
$10K |
| 73130 |
|
1,320 |
1,031 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
226 |
214 |
$9K |
| 73560 |
|
1,340 |
1,036 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
149 |
146 |
$9K |
| 73564 |
|
1,048 |
831 |
$8K |
| 73610 |
|
1,069 |
964 |
$7K |
| 73502 |
|
811 |
761 |
$7K |
| 72110 |
|
673 |
656 |
$6K |
| 71250 |
|
96 |
96 |
$4K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
356 |
340 |
$4K |
| 73620 |
|
686 |
525 |
$4K |
| 73100 |
|
560 |
504 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
42 |
39 |
$3K |
| 77062 |
|
350 |
348 |
$3K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
195 |
195 |
$3K |
| 77065 |
Tomosynthesis, mammo |
93 |
88 |
$2K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
194 |
180 |
$2K |
| 73600 |
|
279 |
236 |
$2K |
| 73120 |
|
375 |
289 |
$2K |
| 73110 |
|
308 |
275 |
$2K |
| 72050 |
|
125 |
123 |
$1K |
| 72081 |
|
87 |
82 |
$1K |
| 70486 |
|
29 |
29 |
$1K |
| 73080 |
|
177 |
163 |
$1K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
251 |
250 |
$1K |
| 73140 |
|
208 |
202 |
$894.94 |
| 73590 |
|
120 |
103 |
$876.28 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
30 |
30 |
$664.79 |
| 72072 |
|
80 |
80 |
$594.77 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
15 |
15 |
$574.24 |
| 93971 |
|
38 |
36 |
$570.78 |
| 70360 |
|
67 |
67 |
$501.79 |
| 73090 |
|
39 |
38 |
$431.55 |
| 72220 |
|
71 |
71 |
$407.59 |
| 70220 |
|
28 |
28 |
$360.70 |
| 71045 |
Radiologic examination, chest; single view |
65 |
65 |
$325.83 |
| 72082 |
|
12 |
12 |
$286.06 |
| 73523 |
|
12 |
12 |
$256.55 |
| 76882 |
|
26 |
25 |
$246.89 |
| 72114 |
|
12 |
12 |
$236.08 |
| 73522 |
|
26 |
25 |
$175.40 |
| 77061 |
|
12 |
12 |
$157.50 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
12 |
12 |
$0.00 |