| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,658 |
1,115 |
$1.38M |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,888 |
4,872 |
$592K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
1,235 |
1,234 |
$294K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
3,461 |
2,356 |
$294K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
3,252 |
2,129 |
$293K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
4,534 |
4,519 |
$219K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,387 |
865 |
$204K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,295 |
910 |
$137K |
| 72141 |
|
1,547 |
1,015 |
$133K |
| 73221 |
|
1,413 |
959 |
$125K |
| 76642 |
|
1,693 |
1,667 |
$124K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
873 |
547 |
$81K |
| 71046 |
Radiologic examination, chest; 2 views |
4,414 |
4,365 |
$76K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,206 |
1,188 |
$71K |
| 71271 |
|
712 |
546 |
$69K |
| 77065 |
Tomosynthesis, mammo |
804 |
763 |
$68K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
927 |
673 |
$67K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
1,067 |
756 |
$67K |
| 77066 |
Tomosynthesis, mammo |
547 |
545 |
$66K |
| 71250 |
|
1,170 |
855 |
$62K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
875 |
873 |
$54K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
519 |
514 |
$46K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
986 |
983 |
$43K |
| 76536 |
|
839 |
835 |
$37K |
| 72110 |
|
1,283 |
1,282 |
$37K |
| 76830 |
Ultrasound, transvaginal |
602 |
599 |
$35K |
| A9577 |
Injection, gadobenate dimeglumine (multihance), per ml |
640 |
532 |
$33K |
| 73630 |
|
1,701 |
1,594 |
$31K |
| 77062 |
|
199 |
197 |
$31K |
| 73030 |
|
1,125 |
1,068 |
$20K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,906 |
1,897 |
$16K |
| 73610 |
|
726 |
705 |
$15K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
90 |
89 |
$14K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
222 |
221 |
$14K |
| 73562 |
|
697 |
645 |
$13K |
| 73130 |
|
542 |
510 |
$12K |
| 72100 |
|
490 |
489 |
$10K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
42 |
39 |
$10K |
| 77080 |
|
296 |
293 |
$9K |
| 73110 |
|
421 |
407 |
$9K |
| 72197 |
|
58 |
37 |
$9K |
| 73718 |
|
90 |
57 |
$8K |
| 74183 |
|
57 |
39 |
$8K |
| 76641 |
|
57 |
51 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
895 |
878 |
$8K |
| 19083 |
|
12 |
12 |
$7K |
| 76770 |
|
132 |
130 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
168 |
127 |
$7K |
| 70486 |
|
126 |
83 |
$7K |
| 73700 |
|
115 |
73 |
$7K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
123 |
122 |
$6K |
| 72146 |
|
67 |
45 |
$6K |
| 72050 |
|
192 |
190 |
$5K |
| 77061 |
|
40 |
40 |
$5K |
| 72040 |
|
238 |
237 |
$5K |
| 74018 |
|
248 |
241 |
$4K |
| 76813 |
|
41 |
41 |
$4K |
| A9579 |
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml |
504 |
461 |
$4K |
| 73560 |
|
333 |
303 |
$4K |
| 73502 |
|
173 |
173 |
$3K |
| 93880 |
|
25 |
25 |
$2K |
| 73620 |
|
196 |
183 |
$2K |
| 73120 |
|
135 |
120 |
$2K |
| 73020 |
|
126 |
121 |
$1K |
| 73600 |
|
115 |
112 |
$1K |
| 76882 |
|
41 |
41 |
$1K |
| 73200 |
|
15 |
12 |
$995.43 |
| 51798 |
|
38 |
38 |
$925.41 |
| 72070 |
|
30 |
30 |
$774.32 |
| 73100 |
|
72 |
66 |
$703.96 |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
158 |
139 |
$698.62 |
| 76857 |
|
16 |
16 |
$544.02 |
| 73080 |
|
25 |
24 |
$449.98 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
51 |
51 |
$392.52 |
| 72072 |
|
12 |
12 |
$277.47 |
| 71047 |
|
13 |
13 |
$226.43 |
| 93925 |
|
13 |
13 |
$213.11 |
| 93922 |
|
14 |
14 |
$128.80 |