| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
161 |
147 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
182 |
170 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
138 |
129 |
$3K |
| 93976 |
|
80 |
74 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
445 |
411 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
55 |
53 |
$1K |
| 76830 |
Ultrasound, transvaginal |
42 |
40 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
51 |
46 |
$994.01 |
| 71045 |
Radiologic examination, chest; single view |
181 |
133 |
$530.78 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$301.87 |
| 73610 |
|
45 |
38 |
$217.11 |
| 73562 |
|
31 |
27 |
$165.24 |
| 73630 |
|
34 |
28 |
$140.12 |
| 73030 |
|
31 |
25 |
$130.25 |
| 73502 |
|
17 |
13 |
$97.16 |
| 73130 |
|
15 |
12 |
$72.81 |
| 73110 |
|
14 |
14 |
$69.03 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
28 |
27 |
$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) |
240 |
174 |
$0.00 |
| 71020 |
|
13 |
13 |
$0.00 |