| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
65 |
61 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
452 |
406 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
56 |
52 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
13 |
12 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
140 |
115 |
$1K |
| 71010 |
|
61 |
55 |
$891.00 |
| 71020 |
|
35 |
33 |
$440.00 |
| 74018 |
|
23 |
21 |
$178.53 |
| 73610 |
|
14 |
13 |
$160.00 |
| 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 |
| 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) |
44 |
37 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
15 |
15 |
$0.00 |