| Code | Description | Claims | Beneficiaries | Total Paid |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
10,306 |
8,838 |
$1.34M |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16,066 |
15,003 |
$1.23M |
| 71045 |
Radiologic examination, chest; single view |
172,796 |
107,798 |
$1.16M |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
1,025 |
980 |
$1.07M |
| 70450 |
Computed tomography, head or brain; without contrast material |
32,415 |
28,209 |
$871K |
| 74183 |
|
3,093 |
3,022 |
$523K |
| 71250 |
|
9,444 |
9,002 |
$436K |
| 74178 |
|
3,342 |
3,245 |
$411K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
7,295 |
7,025 |
$373K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
5,037 |
4,686 |
$281K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
3,788 |
3,623 |
$253K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
3,347 |
3,084 |
$253K |
| 71046 |
Radiologic examination, chest; 2 views |
27,040 |
24,688 |
$243K |
| 74018 |
|
25,700 |
17,420 |
$190K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
836 |
832 |
$161K |
| 72197 |
|
770 |
760 |
$161K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
3,537 |
3,502 |
$134K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,497 |
1,488 |
$133K |
| 93970 |
|
2,546 |
2,295 |
$123K |
| 76770 |
|
3,501 |
3,417 |
$109K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
746 |
661 |
$98K |
| 72141 |
|
870 |
864 |
$85K |
| A9581 |
Injection, gadoxetate disodium, 1 ml |
774 |
768 |
$84K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
2,378 |
2,324 |
$84K |
| A9585 |
Injection, gadobutrol, 0.1 ml |
6,592 |
4,250 |
$83K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
1,373 |
1,372 |
$82K |
| 76642 |
|
1,496 |
1,225 |
$71K |
| 99152 |
|
2,900 |
2,644 |
$71K |
| 74174 |
|
748 |
676 |
$69K |
| 70491 |
|
1,428 |
1,406 |
$65K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
2,874 |
2,663 |
$64K |
| 70486 |
|
1,051 |
1,034 |
$62K |
| 70496 |
|
778 |
737 |
$53K |
| 93971 |
|
2,141 |
1,954 |
$47K |
| 93976 |
|
834 |
780 |
$47K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
8,182 |
5,506 |
$46K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,147 |
1,124 |
$45K |
| 49083 |
|
409 |
239 |
$45K |
| 76830 |
Ultrasound, transvaginal |
1,012 |
995 |
$43K |
| 76536 |
|
1,289 |
1,284 |
$43K |
| 70498 |
|
693 |
659 |
$42K |
| 75574 |
|
220 |
219 |
$38K |
| 77065 |
Tomosynthesis, mammo |
492 |
462 |
$35K |
| 73030 |
|
4,064 |
3,427 |
$35K |
| 73221 |
|
241 |
218 |
$31K |
| 73562 |
|
3,744 |
2,824 |
$30K |
| 73130 |
|
3,180 |
2,250 |
$28K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
1,129 |
1,127 |
$27K |
| 73630 |
|
3,069 |
2,422 |
$26K |
| 99223 |
Prolong inpt eval add15 m |
332 |
326 |
$25K |
| 72110 |
|
1,214 |
1,210 |
$24K |
| 73502 |
|
2,620 |
2,478 |
$23K |
| 77066 |
Tomosynthesis, mammo |
192 |
191 |
$21K |
| 93880 |
|
308 |
308 |
$21K |
| 73610 |
|
2,203 |
1,820 |
$20K |
| 72100 |
|
1,411 |
1,374 |
$16K |
| 36558 |
|
146 |
140 |
$15K |
| 73564 |
|
1,549 |
1,075 |
$14K |
| 73110 |
|
1,753 |
1,415 |
$14K |
| 76937 |
|
1,438 |
1,251 |
$14K |
| 72156 |
|
80 |
78 |
$14K |
| 72158 |
|
104 |
101 |
$13K |
| 76776 |
|
617 |
544 |
$13K |
| 77001 |
|
692 |
663 |
$12K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
295 |
188 |
$11K |
| 76377 |
|
464 |
458 |
$10K |
| 73590 |
|
1,370 |
1,150 |
$9K |
| 73560 |
|
1,790 |
1,430 |
$9K |
| 76882 |
|
454 |
396 |
$8K |
| 73523 |
|
415 |
413 |
$8K |
| 72050 |
|
343 |
342 |
$8K |
| 73552 |
|
1,034 |
868 |
$6K |
| 72157 |
|
39 |
39 |
$6K |
| 71010 |
|
809 |
497 |
$6K |
| 73700 |
|
125 |
109 |
$5K |
| 73718 |
|
52 |
49 |
$5K |
| 72146 |
|
51 |
51 |
$5K |
| 93975 |
|
46 |
42 |
$5K |
| 72040 |
|
308 |
288 |
$4K |
| 70545 |
|
68 |
68 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
79 |
$4K |
| G9638 |
Final reports without documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) |
5,901 |
4,550 |
$3K |
| 76942 |
|
163 |
162 |
$3K |
| 76506 |
|
145 |
99 |
$3K |
| 70548 |
|
54 |
53 |
$3K |
| 72070 |
|
230 |
226 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
44 |
$2K |
| 70543 |
|
14 |
14 |
$2K |
| 77012 |
|
27 |
27 |
$2K |
| 93925 |
|
38 |
37 |
$2K |
| 74170 |
|
20 |
15 |
$1K |
| 71271 |
|
45 |
45 |
$1K |
| 70544 |
|
38 |
36 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
41 |
41 |
$1K |
| 73080 |
|
112 |
97 |
$1K |
| 77080 |
|
130 |
130 |
$1K |
| 70547 |
|
24 |
24 |
$1K |
| 76604 |
|
31 |
29 |
$988.79 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$940.29 |
| 73090 |
|
112 |
94 |
$940.01 |
| 72131 |
|
13 |
13 |
$875.34 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$869.98 |
| 99233 |
Prolong inpt eval add15 m |
25 |
14 |
$827.14 |
| 74000 |
|
91 |
47 |
$496.80 |
| 72170 |
|
106 |
99 |
$454.73 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
1,828 |
1,645 |
$434.33 |
| 73060 |
|
46 |
43 |
$335.41 |
| 73070 |
|
50 |
49 |
$306.84 |
| 50200 |
|
12 |
12 |
$278.79 |
| 74019 |
|
23 |
16 |
$272.73 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
15 |
13 |
$131.17 |
| 77073 |
|
15 |
14 |
$80.19 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
1,599 |
1,379 |
$70.45 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$21.19 |
| G9547 |
Cystic renal lesion that is simple appearing (bosniak i or ii) , or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct, or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols |
29 |
28 |
$0.03 |
| 3100F |
|
31 |
28 |
$0.00 |
| G9550 |
Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up |
13 |
12 |
$0.00 |
| 3342F |
|
70 |
70 |
$0.00 |