| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78815 |
Positron emission tomography (PET) for limited area imaging |
5,543 |
5,307 |
$2.84M |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
5,358 |
5,334 |
$483K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,831 |
4,825 |
$184K |
| 76641 |
|
2,425 |
2,386 |
$119K |
| 71250 |
|
4,624 |
4,595 |
$115K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,328 |
1,326 |
$77K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
3,721 |
3,695 |
$67K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
2,166 |
2,163 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
5,438 |
5,421 |
$45K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
603 |
591 |
$43K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
1,584 |
1,581 |
$29K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
255 |
255 |
$12K |
| 76830 |
Ultrasound, transvaginal |
789 |
789 |
$8K |
| 76536 |
|
339 |
339 |
$7K |
| 72100 |
|
1,017 |
1,016 |
$7K |
| 77080 |
|
698 |
688 |
$7K |
| 73221 |
|
87 |
86 |
$5K |
| 72141 |
|
78 |
78 |
$4K |
| 76770 |
|
158 |
158 |
$3K |
| 74178 |
|
37 |
37 |
$3K |
| 77066 |
Tomosynthesis, mammo |
39 |
39 |
$3K |
| 93000 |
|
162 |
162 |
$1K |
| 73030 |
|
153 |
153 |
$1K |
| 73562 |
|
82 |
80 |
$1K |
| 73630 |
|
118 |
118 |
$1K |
| 73560 |
|
103 |
102 |
$621.91 |
| 70450 |
Computed tomography, head or brain; without contrast material |
19 |
19 |
$455.94 |
| 73565 |
|
34 |
34 |
$441.09 |
| 72040 |
|
55 |
55 |
$331.43 |
| 72070 |
|
43 |
43 |
$128.76 |
| 7025F |
|
12 |
12 |
$0.00 |