| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
|
119,054 |
114,401 |
$10.60M |
| 72148 |
|
58,357 |
53,308 |
$6.64M |
| 70553 |
|
25,282 |
22,307 |
$4.95M |
| 73721 |
|
35,990 |
32,267 |
$4.67M |
| 76700 |
|
52,183 |
49,431 |
$4.25M |
| 77063 |
|
117,655 |
110,761 |
$3.88M |
| 70551 |
|
28,173 |
25,538 |
$3.40M |
| 72141 |
|
28,346 |
25,840 |
$3.18M |
| 77066 |
Tomosynthesis, mammo |
22,291 |
20,551 |
$2.40M |
| 71046 |
|
109,148 |
102,377 |
$2.25M |
| 73221 |
|
17,732 |
16,171 |
$2.24M |
| 76856 |
|
31,605 |
28,960 |
$2.10M |
| 76830 |
|
26,069 |
24,604 |
$2.09M |
| 78815 |
|
3,391 |
3,060 |
$2.07M |
| 76536 |
|
27,379 |
26,079 |
$2.01M |
| 93975 |
|
9,731 |
9,101 |
$2.00M |
| A9584 |
Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries |
1,234 |
1,056 |
$1.87M |
| 76642 |
|
34,145 |
30,066 |
$1.87M |
| 76641 |
|
21,856 |
19,207 |
$1.74M |
| 71250 |
|
19,174 |
17,672 |
$1.38M |
| 74178 |
|
6,038 |
5,368 |
$1.12M |
| 74176 |
|
10,543 |
9,895 |
$1.09M |
| 76770 |
|
15,999 |
15,092 |
$1.04M |
| 74177 |
|
5,894 |
5,444 |
$1.02M |
| 77065 |
Tomosynthesis, mammo |
10,757 |
9,942 |
$912K |
| 78227 |
|
2,720 |
2,446 |
$751K |
| 73562 |
|
30,270 |
25,673 |
$727K |
| 72100 |
|
27,809 |
26,266 |
$709K |
| 77062 |
|
7,231 |
6,716 |
$698K |
| 70486 |
|
7,578 |
6,935 |
$622K |
| 77080 |
|
32,317 |
30,841 |
$610K |
| 70544 |
|
4,934 |
4,113 |
$593K |
| 76705 |
|
9,834 |
9,420 |
$583K |
| 77049 |
|
2,510 |
2,183 |
$576K |
| 74183 |
|
2,719 |
2,433 |
$543K |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13,496 |
12,667 |
$524K |
| 73030 |
|
23,903 |
21,081 |
$483K |
| A9575 |
Injection, gadoterate meglumine, 0.1 ml |
40,065 |
36,521 |
$468K |
| 70450 |
|
7,750 |
7,042 |
$463K |
| 93976 |
|
4,512 |
4,028 |
$457K |
| 72146 |
|
3,988 |
3,629 |
$446K |
| 73630 |
|
18,766 |
16,602 |
$419K |
| 72110 |
|
13,128 |
12,307 |
$412K |
| 93306 |
|
3,191 |
2,994 |
$372K |
| 19083 |
|
906 |
852 |
$370K |
| 93971 |
|
4,828 |
4,577 |
$363K |
| 70549 |
|
1,752 |
1,450 |
$360K |
| 93970 |
|
2,941 |
2,764 |
$341K |
| 76801 |
|
3,668 |
3,445 |
$317K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
43,918 |
38,635 |
$283K |
| 70546 |
|
1,373 |
1,194 |
$262K |
| 78264 |
|
1,152 |
1,111 |
$247K |
| 72197 |
|
1,124 |
1,025 |
$241K |
| 73130 |
|
9,979 |
8,537 |
$233K |
| A9552 |
Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries |
1,945 |
1,666 |
$231K |
| 72040 |
|
9,002 |
8,516 |
$227K |
| 76377 |
|
14,254 |
10,936 |
$221K |
| 73700 |
|
2,716 |
2,438 |
$210K |
| 74018 |
|
10,140 |
9,614 |
$209K |
| 93925 |
|
1,470 |
1,408 |
$209K |
| 72050 |
|
6,337 |
5,935 |
$206K |
| 93880 |
|
1,808 |
1,740 |
$203K |
| 73610 |
|
8,293 |
7,503 |
$202K |
| J2805 |
Injection, sincalide, 5 micrograms |
2,538 |
2,334 |
$197K |
| 73502 |
|
6,962 |
6,484 |
$189K |
| 72082 |
|
3,627 |
3,472 |
$189K |
| 76817 |
|
2,713 |
2,522 |
$188K |
| 71271 |
|
2,508 |
2,381 |
$187K |
| 72072 |
|
7,793 |
7,293 |
$186K |
| 78803 |
|
992 |
923 |
$171K |
| 76805 |
|
1,875 |
1,813 |
$169K |
| 73560 |
|
8,228 |
6,836 |
$166K |
| 76870 |
|
2,262 |
2,185 |
$156K |
| 76981 |
|
3,430 |
2,736 |
$154K |
| 73718 |
|
997 |
880 |
$153K |
| 70547 |
|
1,253 |
1,096 |
$147K |
| 73523 |
|
3,649 |
3,411 |
$133K |
| 73110 |
|
4,835 |
4,354 |
$131K |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
1,160 |
1,093 |
$130K |
| A9537 |
Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries |
2,974 |
2,677 |
$116K |
| 76815 |
|
1,602 |
1,526 |
$90K |
| 71275 |
|
548 |
495 |
$86K |
| 75574 |
|
518 |
452 |
$85K |
| 72114 |
|
1,962 |
1,865 |
$79K |
| 70480 |
|
653 |
619 |
$64K |
| 10005 |
|
713 |
658 |
$63K |
| 70491 |
|
491 |
458 |
$55K |
| 77061 |
|
500 |
473 |
$55K |
| 73564 |
|
1,988 |
1,656 |
$54K |
| 72131 |
|
796 |
687 |
$49K |
| 76882 |
|
1,354 |
1,306 |
$47K |
| 78306 |
|
320 |
298 |
$47K |
| 78607 |
|
280 |
226 |
$42K |
| 77059 |
|
153 |
137 |
$39K |
| 77072 |
|
1,985 |
1,856 |
$38K |
| 76376 |
|
6,630 |
5,182 |
$34K |
| 73080 |
|
1,582 |
1,420 |
$34K |
| 72156 |
|
177 |
147 |
$33K |
| 72052 |
|
715 |
664 |
$27K |
| 73218 |
|
142 |
129 |
$26K |
| 72070 |
|
1,034 |
1,002 |
$24K |
| 71260 |
|
262 |
235 |
$22K |
| 72202 |
|
764 |
749 |
$21K |
| 73200 |
|
200 |
177 |
$16K |
| 70360 |
|
763 |
721 |
$16K |
| 73120 |
|
690 |
587 |
$16K |
| 73140 |
|
475 |
455 |
$14K |
| 72158 |
|
75 |
64 |
$14K |
| 73590 |
|
611 |
564 |
$14K |
| 74019 |
|
379 |
375 |
$12K |
| G0297 |
Low dose ct scan (ldct) for lung cancer screening |
114 |
104 |
$11K |
| 72220 |
|
460 |
451 |
$11K |
| 73620 |
|
505 |
440 |
$10K |
| 82565 |
|
7,386 |
4,585 |
$9K |
| 72125 |
|
143 |
113 |
$8K |
| 73522 |
|
249 |
236 |
$8K |
| 78226 |
|
41 |
37 |
$8K |
| 74221 |
|
103 |
97 |
$7K |
| 36415 |
|
4,818 |
4,255 |
$7K |
| 74181 |
|
55 |
53 |
$6K |
| 73222 |
|
28 |
26 |
$6K |
| A9503 |
Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
913 |
760 |
$6K |
| 75635 |
|
30 |
25 |
$5K |
| 74170 |
|
27 |
27 |
$4K |
| 70470 |
|
29 |
28 |
$4K |
| 76942 |
|
75 |
64 |
$4K |
| 93923 |
|
38 |
38 |
$3K |
| 73100 |
|
134 |
113 |
$3K |
| 72083 |
|
69 |
59 |
$3K |
| 72074 |
|
89 |
86 |
$3K |
| 73600 |
|
113 |
107 |
$3K |
| 70492 |
|
14 |
14 |
$3K |
| 73090 |
|
104 |
103 |
$3K |
| 72157 |
|
14 |
12 |
$2K |
| 74246 |
|
33 |
30 |
$2K |
| 70498 |
|
12 |
12 |
$2K |
| 77085 |
|
89 |
86 |
$2K |
| 76816 |
|
33 |
29 |
$2K |
| 93926 |
|
13 |
13 |
$2K |
| 70210 |
|
59 |
55 |
$2K |
| 76857 |
|
47 |
47 |
$2K |
| 72081 |
|
37 |
37 |
$1K |
| 70490 |
|
14 |
13 |
$1K |
| 73552 |
|
60 |
55 |
$1K |
| 70220 |
|
41 |
40 |
$1K |
| 73565 |
|
37 |
37 |
$1K |
| 75571 |
|
13 |
13 |
$1K |
| 72170 |
|
51 |
48 |
$1K |
| 71045 |
|
51 |
48 |
$923.62 |
| 60100 |
|
16 |
13 |
$766.28 |
| 93308 |
|
16 |
14 |
$743.45 |
| 71100 |
|
26 |
26 |
$726.28 |
| 77002 |
|
13 |
12 |
$722.08 |
| 74150 |
|
15 |
12 |
$710.23 |
| 93922 |
|
18 |
18 |
$690.08 |
| 73503 |
|
32 |
24 |
$680.05 |
| 74220 |
|
16 |
15 |
$666.69 |
| 99152 |
|
16 |
14 |
$491.60 |
| 77081 |
|
42 |
38 |
$481.09 |
| 71101 |
|
12 |
12 |
$431.99 |
| 72080 |
|
13 |
13 |
$304.10 |
| 72200 |
|
12 |
12 |
$300.26 |
| 99153 |
Mod sedat endo service >5yrs |
30 |
14 |
$290.15 |
| 76706 |
|
15 |
15 |
$201.83 |
| 0159T |
|
67 |
61 |
$26.40 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
18 |
16 |
$9.27 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
33 |
28 |
$4.94 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
25 |
24 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
12 |
12 |
$0.00 |
| G9637 |
Final reports with 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) |
12 |
12 |
$0.00 |