| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
3,646 |
3,512 |
$7.20M |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
3,620 |
3,567 |
$1.19M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
6,189 |
6,040 |
$674K |
| 76813 |
|
5,000 |
4,540 |
$516K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
8,136 |
7,819 |
$496K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,439 |
1,331 |
$477K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
4,529 |
4,499 |
$423K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
4,014 |
3,982 |
$336K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,479 |
1,457 |
$290K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
3,608 |
3,579 |
$236K |
| 76642 |
|
3,112 |
2,419 |
$234K |
| 76830 |
Ultrasound, transvaginal |
3,274 |
3,242 |
$216K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
2,590 |
2,484 |
$211K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
869 |
788 |
$178K |
| 71250 |
|
1,005 |
1,000 |
$147K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
749 |
738 |
$146K |
| 77066 |
Tomosynthesis, mammo |
983 |
965 |
$146K |
| 74178 |
|
374 |
368 |
$129K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
373 |
368 |
$122K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
575 |
563 |
$116K |
| 76536 |
|
1,474 |
1,463 |
$95K |
| 77065 |
Tomosynthesis, mammo |
678 |
655 |
$75K |
| 76770 |
|
917 |
908 |
$72K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
1,366 |
1,350 |
$72K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
2,306 |
2,243 |
$65K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,147 |
1,145 |
$64K |
| 73221 |
|
185 |
171 |
$38K |
| 72141 |
|
167 |
163 |
$32K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
2,148 |
2,115 |
$26K |
| 77080 |
|
674 |
654 |
$24K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
134 |
132 |
$22K |
| 71046 |
Radiologic examination, chest; 2 views |
743 |
724 |
$16K |
| 82565 |
|
3,518 |
3,384 |
$16K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
216 |
212 |
$14K |
| 93970 |
|
67 |
67 |
$12K |
| 19083 |
|
13 |
13 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
27 |
$5K |
| 74183 |
|
12 |
12 |
$5K |
| 77062 |
|
63 |
63 |
$4K |
| 76882 |
|
115 |
108 |
$3K |
| 76801 |
|
36 |
34 |
$2K |
| 76641 |
|
18 |
13 |
$2K |
| 76857 |
|
39 |
39 |
$2K |
| 77061 |
|
12 |
12 |
$793.80 |
| 76870 |
|
12 |
12 |
$777.40 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
15 |
15 |
$712.80 |
| 73562 |
|
33 |
26 |
$490.77 |
| G0202 |
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed |
48 |
48 |
$114.52 |
| 36415 |
Collection of venous blood by venipuncture |
2,387 |
2,323 |
$0.00 |