| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,405 |
4,957 |
$223K |
| 71045 |
Radiologic examination, chest; single view |
58,194 |
52,173 |
$199K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,752 |
7,133 |
$177K |
| 71046 |
Radiologic examination, chest; 2 views |
24,235 |
23,183 |
$137K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
500 |
453 |
$18K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
269 |
245 |
$8K |
| 74018 |
|
133 |
119 |
$381.08 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$341.61 |
| 73630 |
|
33 |
26 |
$204.68 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$198.54 |
| 73130 |
|
28 |
25 |
$184.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
269 |
260 |
$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) |
1,517 |
1,371 |
$0.00 |