| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,699 |
1,614 |
$95K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
482 |
473 |
$21K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
440 |
415 |
$14K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
207 |
196 |
$14K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
158 |
145 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,195 |
1,159 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
41 |
40 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
915 |
886 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
85 |
85 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
38 |
$3K |
| 72131 |
|
73 |
71 |
$2K |
| 70496 |
|
14 |
12 |
$1K |
| 73610 |
|
84 |
82 |
$1K |
| 70498 |
|
12 |
12 |
$943.00 |
| 73630 |
|
60 |
57 |
$586.65 |
| 70486 |
|
13 |
13 |
$455.18 |
| 73130 |
|
42 |
42 |
$444.31 |
| 73030 |
|
12 |
12 |
$126.20 |
| 73560 |
|
14 |
14 |
$121.72 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
414 |
398 |
$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) |
398 |
382 |
$0.00 |