| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
442 |
439 |
$13K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
409 |
407 |
$3K |
| 76775 |
|
81 |
81 |
$467.74 |
| 93975 |
|
14 |
14 |
$437.84 |
| 93970 |
|
67 |
67 |
$396.25 |
| 93971 |
|
41 |
40 |
$277.72 |
| 76770 |
|
12 |
12 |
$187.38 |
| 71045 |
Radiologic examination, chest; single view |
21 |
19 |
$42.34 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
27 |
27 |
$0.07 |
| 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) |
83 |
82 |
$0.00 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
40 |
39 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
33 |
12 |
$0.00 |