| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
351 |
324 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
455 |
416 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,053 |
1,474 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
132 |
121 |
$8K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
172 |
161 |
$4K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
81 |
71 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
46 |
43 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
159 |
150 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$510.77 |
| 93971 |
|
12 |
12 |
$188.05 |
| 73610 |
|
14 |
13 |
$93.17 |
| 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) |
36 |
25 |
$0.00 |
| 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 |
13 |
12 |
$0.00 |