| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
499 |
439 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
621 |
516 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
900 |
750 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
3,102 |
2,141 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,429 |
1,304 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
88 |
75 |
$1K |
| 74018 |
|
311 |
245 |
$1K |
| 73630 |
|
178 |
157 |
$547.09 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
25 |
24 |
$392.34 |
| 73610 |
|
80 |
62 |
$267.90 |
| 71250 |
|
26 |
26 |
$263.53 |
| 72100 |
|
40 |
36 |
$140.86 |
| 73562 |
|
36 |
30 |
$112.73 |
| 74019 |
|
18 |
14 |
$107.90 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
19 |
15 |
$93.35 |
| 73130 |
|
13 |
12 |
$48.73 |
| 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) |
2,096 |
1,538 |
$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 |
613 |
497 |
$0.00 |
| 7025F |
|
75 |
63 |
$0.00 |
| G9638 |
Final reports without 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) |
921 |
719 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
1,835 |
1,499 |
$0.00 |