| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 77067 |
|
23,570 |
23,212 |
$2.12M |
| 76642 |
|
12,130 |
10,745 |
$620K |
| 76830 |
|
6,668 |
6,521 |
$497K |
| 76705 |
|
10,201 |
9,795 |
$487K |
| 77066 |
Tomosynthesis, mammo |
2,852 |
2,762 |
$283K |
| 71046 |
|
14,971 |
14,447 |
$270K |
| 73721 |
|
2,187 |
2,055 |
$260K |
| 70553 |
|
1,399 |
1,340 |
$242K |
| 76856 |
|
3,323 |
3,241 |
$219K |
| 72148 |
|
1,973 |
1,880 |
$197K |
| G0279 |
Tomosynthesis, mammo |
7,323 |
7,154 |
$169K |
| 77065 |
Tomosynthesis, mammo |
1,741 |
1,652 |
$141K |
| 76536 |
|
1,854 |
1,811 |
$123K |
| 76700 |
|
1,639 |
1,597 |
$111K |
| 71250 |
|
1,557 |
1,500 |
$92K |
| 72100 |
|
3,439 |
3,342 |
$74K |
| 71271 |
|
818 |
813 |
$72K |
| 76770 |
|
1,124 |
1,085 |
$69K |
| A9585 |
Gadobutrol injection |
2,976 |
2,928 |
$68K |
| 73630 |
|
3,325 |
2,886 |
$62K |
| A9577 |
Inj multihance |
2,732 |
2,654 |
$60K |
| 73030 |
|
3,270 |
2,814 |
$57K |
| 73562 |
|
2,500 |
1,926 |
$55K |
| 72110 |
|
1,531 |
1,449 |
$39K |
| 77002 |
|
529 |
525 |
$29K |
| 73610 |
|
1,306 |
1,220 |
$27K |
| 73130 |
|
1,350 |
1,072 |
$27K |
| 78264 |
|
129 |
125 |
$25K |
| 72040 |
|
1,166 |
1,136 |
$25K |
| 76801 |
|
300 |
286 |
$23K |
| 72141 |
|
229 |
215 |
$23K |
| 76805 |
|
240 |
238 |
$20K |
| A9541 |
Tc99m sulfur colloid |
114 |
113 |
$20K |
| 74183 |
|
117 |
106 |
$17K |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
2,369 |
2,308 |
$16K |
| 74177 |
|
111 |
109 |
$16K |
| 76882 |
|
546 |
503 |
$15K |
| 73502 |
|
641 |
612 |
$15K |
| 77063 |
|
19,825 |
19,609 |
$13K |
| 74018 |
|
741 |
710 |
$13K |
| 73110 |
|
503 |
473 |
$11K |
| G0297 |
Ldct for lung ca screen |
96 |
96 |
$10K |
| 93971 |
|
160 |
155 |
$10K |
| 76817 |
|
154 |
142 |
$9K |
| 73221 |
|
71 |
65 |
$8K |
| 72050 |
|
295 |
288 |
$7K |
| 77080 |
|
330 |
327 |
$6K |
| 70551 |
|
54 |
54 |
$6K |
| 73564 |
|
255 |
192 |
$6K |
| 73522 |
|
174 |
168 |
$5K |
| 78227 |
|
12 |
12 |
$3K |
| 72070 |
|
191 |
184 |
$3K |
| A9552 |
F18 fdg |
25 |
25 |
$3K |
| 72082 |
|
72 |
67 |
$3K |
| 72072 |
|
93 |
91 |
$2K |
| 78320 |
|
18 |
17 |
$2K |
| J2805 |
Sincalide injection |
12 |
12 |
$2K |
| 71260 |
|
24 |
24 |
$1K |
| 73140 |
|
54 |
54 |
$1K |
| A9503 |
Tc99m medronate |
95 |
90 |
$1K |
| 76816 |
|
13 |
13 |
$836.64 |
| A9537 |
Tc99m mebrofenin |
13 |
13 |
$573.40 |
| J1040 |
Methylprednisolone 80 mg inj |
70 |
68 |
$488.57 |
| 99214 |
|
12 |
12 |
$441.89 |
| 74019 |
|
25 |
25 |
$439.08 |
| 73700 |
|
13 |
12 |
$432.59 |
| 99152 |
|
14 |
14 |
$168.70 |
| 71045 |
|
13 |
12 |
$100.53 |
| 99153 |
Mod sedat endo service >5yrs |
12 |
12 |
$37.11 |
| J3010 |
Fentanyl citrate injection |
27 |
26 |
$13.97 |
| J3490 |
Drugs unclassified injection |
29 |
28 |
$13.00 |
| Q9966 |
Locm 200-299mg/ml iodine,1ml |
12 |
12 |
$2.12 |
| J2250 |
Inj midazolam hydrochloride |
14 |
14 |
$1.30 |
| 3341F |
|
696 |
692 |
$0.00 |
| G9637 |
Doc >1 dose reduc tech |
596 |
555 |
$0.00 |
| G9557 |
Ct/cta/mri/a no thyr <1.0cm |
243 |
241 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
541 |
529 |
$0.00 |
| G9551 |
Imag no les |
2,383 |
2,350 |
$0.00 |
| 3342F |
|
89 |
88 |
$0.00 |
| 3340F |
|
27 |
26 |
$0.00 |
| G9322 |
No cnt ct nuc med doc 12mo |
15 |
13 |
$0.00 |
| G9500 |
Rad expos ind/exp tm doc |
12 |
12 |
$0.00 |