| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,225 |
1,658 |
$79K |
| 71045 |
Radiologic examination, chest; single view |
11,402 |
6,982 |
$36K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,533 |
1,106 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
2,804 |
2,102 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
90 |
83 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
90 |
83 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
42 |
39 |
$783.51 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
13 |
$501.81 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$479.64 |
| 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) |
3,608 |
2,355 |
$0.02 |
| 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 |
68 |
51 |
$0.01 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
227 |
198 |
$0.00 |