| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,149 |
964 |
$31K |
| 71046 |
Radiologic examination, chest; 2 views |
6,533 |
5,510 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
937 |
714 |
$17K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
492 |
479 |
$13K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
477 |
465 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
3,240 |
2,063 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
97 |
80 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
24 |
$383.06 |
| 73630 |
|
52 |
38 |
$143.54 |
| 72100 |
|
13 |
12 |
$60.20 |
| 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) |
351 |
181 |
$0.35 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
31 |
12 |
$0.03 |
| 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) |
31 |
12 |
$0.01 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
20 |
15 |
$0.01 |