| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
553 |
548 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,357 |
1,329 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,821 |
1,746 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
1,075 |
1,066 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
40 |
40 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$550.09 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
29 |
29 |
$246.46 |
| 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) |
919 |
886 |
$0.22 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
65 |
65 |
$0.21 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
60 |
60 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
732 |
278 |
$0.00 |