| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
874 |
849 |
$54K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
126 |
119 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
101 |
100 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
57 |
55 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
39 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
55 |
54 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
552 |
516 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
68 |
67 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
141 |
131 |
$759.60 |
| 70486 |
|
14 |
13 |
$453.46 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
243 |
240 |
$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) |
353 |
339 |
$0.00 |