| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
|
83,085 |
77,783 |
$7.79M |
| 72148 |
|
23,638 |
21,438 |
$3.05M |
| 77063 |
|
77,556 |
72,405 |
$2.96M |
| 73721 |
|
18,250 |
15,259 |
$2.63M |
| 78815 |
|
6,416 |
5,644 |
$2.45M |
| 74177 |
|
26,667 |
23,470 |
$2.11M |
| 76830 |
|
26,479 |
23,696 |
$1.75M |
| 76642 |
|
28,998 |
25,562 |
$1.63M |
| 76856 |
|
28,817 |
25,973 |
$1.62M |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
5,163 |
4,619 |
$1.13M |
| 72141 |
|
9,337 |
8,435 |
$1.07M |
| 77066 |
Tomosynthesis, mammo |
12,404 |
10,878 |
$1.06M |
| 71046 |
|
86,445 |
76,818 |
$945K |
| 70551 |
|
9,326 |
8,333 |
$883K |
| 70553 |
|
5,454 |
4,847 |
$760K |
| 73221 |
|
6,596 |
5,654 |
$757K |
| 70450 |
|
29,928 |
25,548 |
$743K |
| 76805 |
|
7,828 |
7,125 |
$732K |
| 77065 |
Tomosynthesis, mammo |
9,928 |
8,597 |
$612K |
| 74176 |
|
11,072 |
9,640 |
$578K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
15,766 |
13,999 |
$563K |
| 71250 |
|
11,358 |
10,302 |
$530K |
| 76536 |
|
8,148 |
7,324 |
$434K |
| 76700 |
|
8,367 |
7,423 |
$394K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
16,762 |
15,283 |
$386K |
| 71275 |
|
7,697 |
6,749 |
$342K |
| 76801 |
|
3,722 |
2,949 |
$222K |
| 76816 |
|
3,192 |
2,761 |
$213K |
| 77062 |
|
6,042 |
5,390 |
$210K |
| 71260 |
|
5,294 |
4,740 |
$202K |
| 71045 |
|
55,199 |
37,524 |
$178K |
| 76705 |
|
5,921 |
4,963 |
$147K |
| 71271 |
|
1,697 |
1,418 |
$131K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
5,083 |
4,777 |
$116K |
| 74178 |
|
1,449 |
1,334 |
$115K |
| 74183 |
|
1,529 |
1,317 |
$112K |
| 72125 |
|
3,721 |
3,328 |
$100K |
| 72100 |
|
8,048 |
7,011 |
$99K |
| 72146 |
|
1,618 |
1,433 |
$97K |
| 72131 |
|
1,871 |
1,697 |
$88K |
| 70486 |
|
2,137 |
1,861 |
$83K |
| 93971 |
|
4,871 |
4,278 |
$67K |
| 93970 |
|
2,919 |
2,577 |
$63K |
| 76770 |
|
3,049 |
2,631 |
$61K |
| 76817 |
|
1,874 |
1,329 |
$60K |
| 77061 |
|
1,921 |
1,621 |
$59K |
| 73630 |
|
7,893 |
5,575 |
$58K |
| 93880 |
|
1,603 |
1,477 |
$55K |
| 73562 |
|
6,192 |
4,458 |
$51K |
| 76815 |
|
1,254 |
1,009 |
$49K |
| 73030 |
|
6,808 |
5,264 |
$49K |
| 76775 |
|
2,333 |
2,078 |
$46K |
| 72197 |
|
884 |
709 |
$43K |
| 70491 |
|
906 |
738 |
$40K |
| 73560 |
|
5,977 |
3,931 |
$40K |
| 78227 |
|
208 |
170 |
$32K |
| 74018 |
|
6,009 |
4,276 |
$30K |
| 19083 |
|
309 |
222 |
$29K |
| 73502 |
|
4,133 |
3,620 |
$29K |
| 77049 |
|
110 |
103 |
$26K |
| 72110 |
|
1,884 |
1,623 |
$25K |
| 78452 |
|
820 |
718 |
$25K |
| 72050 |
|
2,117 |
1,792 |
$25K |
| 70498 |
|
823 |
690 |
$24K |
| 73718 |
|
693 |
528 |
$24K |
| 73130 |
|
3,989 |
2,517 |
$22K |
| 70544 |
|
780 |
684 |
$21K |
| 72040 |
|
2,661 |
2,258 |
$21K |
| 73610 |
|
3,903 |
2,916 |
$19K |
| 93975 |
|
1,301 |
887 |
$18K |
| 73700 |
|
863 |
707 |
$17K |
| 73564 |
|
2,149 |
1,275 |
$16K |
| 70496 |
|
781 |
655 |
$15K |
| 74174 |
|
595 |
545 |
$14K |
| 74181 |
|
246 |
199 |
$14K |
| 72070 |
|
1,460 |
1,259 |
$12K |
| 73110 |
|
2,196 |
1,545 |
$12K |
| 73522 |
|
1,111 |
961 |
$11K |
| 76641 |
|
298 |
184 |
$11K |
| 77080 |
|
686 |
489 |
$11K |
| 74019 |
|
1,390 |
1,063 |
$9K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
110 |
63 |
$8K |
| 78306 |
|
166 |
126 |
$7K |
| 72156 |
|
158 |
105 |
$7K |
| 72158 |
|
118 |
78 |
$6K |
| 76870 |
|
395 |
245 |
$5K |
| 93925 |
|
62 |
52 |
$5K |
| 75571 |
|
241 |
229 |
$5K |
| 76882 |
|
446 |
302 |
$5K |
| 49083 |
|
107 |
31 |
$4K |
| 74230 |
|
462 |
419 |
$4K |
| 78264 |
|
42 |
29 |
$4K |
| 72114 |
|
124 |
104 |
$3K |
| 73590 |
|
1,069 |
773 |
$3K |
| 74220 |
|
76 |
68 |
$3K |
| 70480 |
|
96 |
79 |
$2K |
| 73080 |
|
625 |
432 |
$2K |
| 73552 |
|
648 |
507 |
$2K |
| 72170 |
|
322 |
246 |
$2K |
| 93923 |
|
12 |
12 |
$2K |
| 72081 |
|
152 |
86 |
$1K |
| J2805 |
Injection, sincalide, 5 micrograms |
24 |
12 |
$1K |
| 73090 |
|
399 |
255 |
$1K |
| 74240 |
|
31 |
13 |
$1K |
| 73140 |
|
276 |
171 |
$1K |
| 77073 |
|
94 |
59 |
$1K |
| 72195 |
|
54 |
40 |
$1K |
| 73120 |
|
319 |
136 |
$1K |
| 73620 |
|
340 |
183 |
$1K |
| 32555 |
|
31 |
27 |
$1K |
| 77072 |
|
166 |
88 |
$984.35 |
| 72192 |
|
29 |
26 |
$982.53 |
| 73060 |
|
341 |
269 |
$917.73 |
| 76885 |
|
12 |
12 |
$915.42 |
| 73070 |
|
122 |
69 |
$855.02 |
| 71101 |
|
239 |
175 |
$800.68 |
| 74022 |
|
121 |
88 |
$789.50 |
| 73100 |
|
174 |
85 |
$752.34 |
| 78582 |
|
29 |
16 |
$687.48 |
| 77001 |
|
41 |
39 |
$643.80 |
| 73200 |
|
14 |
13 |
$560.22 |
| 73000 |
|
88 |
46 |
$481.58 |
| 93976 |
|
31 |
19 |
$418.18 |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
15 |
13 |
$385.68 |
| 76377 |
|
40 |
40 |
$307.84 |
| 76376 |
|
13 |
13 |
$301.40 |
| 70360 |
|
71 |
30 |
$272.84 |
| 99152 |
|
46 |
28 |
$214.18 |
| 70490 |
|
20 |
12 |
$173.65 |
| 74246 |
|
32 |
24 |
$146.85 |
| 76937 |
|
12 |
12 |
$135.63 |
| 72082 |
|
48 |
26 |
$134.17 |
| 74160 |
|
18 |
13 |
$58.74 |
| 77012 |
|
38 |
24 |
$22.08 |
| 72202 |
|
18 |
12 |
$0.00 |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
338 |
285 |
$-2172.29 |