| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,572 |
4,199 |
$292K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
5,581 |
5,438 |
$235K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
730 |
679 |
$135K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
5,286 |
5,157 |
$108K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,993 |
3,551 |
$104K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
546 |
529 |
$102K |
| 71046 |
Radiologic examination, chest; 2 views |
13,155 |
12,287 |
$87K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
328 |
298 |
$78K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
527 |
492 |
$70K |
| 72141 |
|
371 |
355 |
$65K |
| 76830 |
Ultrasound, transvaginal |
1,271 |
1,176 |
$62K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
773 |
706 |
$56K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
684 |
633 |
$48K |
| 93975 |
|
652 |
582 |
$47K |
| 76642 |
|
1,005 |
936 |
$47K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
988 |
926 |
$46K |
| 71045 |
Radiologic examination, chest; single view |
10,251 |
7,725 |
$45K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
1,196 |
1,098 |
$44K |
| 74183 |
|
208 |
202 |
$44K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
784 |
721 |
$43K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,241 |
1,137 |
$42K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
789 |
745 |
$40K |
| 73221 |
|
147 |
137 |
$37K |
| 77066 |
Tomosynthesis, mammo |
509 |
482 |
$36K |
| 71250 |
|
537 |
514 |
$35K |
| 76536 |
|
591 |
562 |
$34K |
| 77061 |
|
461 |
414 |
$32K |
| 72158 |
|
181 |
163 |
$30K |
| 77065 |
Tomosynthesis, mammo |
510 |
451 |
$28K |
| 77062 |
|
508 |
481 |
$27K |
| 70486 |
|
371 |
342 |
$26K |
| 70496 |
|
396 |
349 |
$26K |
| 70498 |
|
417 |
378 |
$25K |
| 93971 |
|
565 |
523 |
$24K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
1,452 |
456 |
$23K |
| 72197 |
|
99 |
97 |
$23K |
| 76770 |
|
453 |
402 |
$18K |
| 74174 |
|
186 |
170 |
$16K |
| 72156 |
|
106 |
103 |
$16K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
693 |
610 |
$16K |
| 76857 |
|
567 |
505 |
$15K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
491 |
426 |
$15K |
| 71271 |
|
217 |
217 |
$14K |
| 70491 |
|
166 |
156 |
$13K |
| 72100 |
|
768 |
727 |
$12K |
| 72157 |
|
93 |
81 |
$12K |
| 76775 |
|
228 |
220 |
$12K |
| 76641 |
|
188 |
168 |
$12K |
| 73630 |
|
1,104 |
984 |
$12K |
| 72146 |
|
76 |
75 |
$11K |
| 72131 |
|
278 |
261 |
$11K |
| 73610 |
|
1,116 |
909 |
$11K |
| 73130 |
|
919 |
802 |
$10K |
| 73030 |
|
890 |
799 |
$10K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
1,202 |
399 |
$10K |
| 76801 |
|
227 |
195 |
$9K |
| 77080 |
|
336 |
330 |
$8K |
| 73700 |
|
125 |
115 |
$7K |
| 76870 |
|
181 |
173 |
$7K |
| 73110 |
|
645 |
553 |
$7K |
| 73560 |
|
891 |
730 |
$7K |
| 72128 |
|
187 |
171 |
$7K |
| 19083 |
|
30 |
29 |
$7K |
| 74018 |
|
738 |
562 |
$7K |
| 73562 |
|
324 |
302 |
$7K |
| 93970 |
|
141 |
137 |
$6K |
| 72050 |
|
197 |
191 |
$6K |
| 73502 |
|
462 |
417 |
$6K |
| 76882 |
|
242 |
219 |
$5K |
| 73590 |
|
533 |
446 |
$4K |
| 72070 |
|
228 |
219 |
$4K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
106 |
104 |
$4K |
| 72110 |
|
130 |
125 |
$4K |
| 73080 |
|
409 |
364 |
$3K |
| 76981 |
|
60 |
54 |
$3K |
| 72040 |
|
226 |
214 |
$3K |
| 74178 |
|
12 |
12 |
$3K |
| 73090 |
|
360 |
301 |
$3K |
| 74019 |
|
230 |
198 |
$2K |
| 73552 |
|
258 |
219 |
$2K |
| 70544 |
|
17 |
17 |
$2K |
| 93880 |
|
25 |
25 |
$2K |
| 77049 |
|
15 |
15 |
$2K |
| 72132 |
|
49 |
46 |
$2K |
| 73140 |
|
190 |
170 |
$2K |
| 72129 |
|
44 |
41 |
$2K |
| 73060 |
|
179 |
157 |
$1K |
| 72170 |
|
141 |
131 |
$1K |
| 72127 |
|
16 |
16 |
$665.52 |
| 70360 |
|
60 |
49 |
$471.33 |
| 93976 |
|
14 |
14 |
$446.46 |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
15 |
12 |
$445.95 |
| 99152 |
|
59 |
56 |
$378.78 |
| 73000 |
|
56 |
40 |
$336.69 |
| 72084 |
|
24 |
12 |
$334.08 |
| 74246 |
|
12 |
12 |
$299.63 |
| 72082 |
|
21 |
19 |
$263.84 |
| 73564 |
|
14 |
14 |
$223.14 |
| 73522 |
|
12 |
12 |
$170.12 |
| 71100 |
|
13 |
12 |
$159.24 |
| 77072 |
|
14 |
14 |
$149.47 |
| 73660 |
|
19 |
15 |
$143.60 |
| 70355 |
|
14 |
13 |
$104.44 |