| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,061 |
1,017 |
$56K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
794 |
764 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
3,973 |
3,586 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
371 |
364 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,125 |
1,984 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
83 |
72 |
$8K |
| 71250 |
|
191 |
185 |
$5K |
| 73630 |
|
534 |
488 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
82 |
81 |
$2K |
| 93922 |
|
150 |
142 |
$2K |
| 74018 |
|
456 |
412 |
$2K |
| 73130 |
|
177 |
158 |
$2K |
| 73610 |
|
134 |
126 |
$2K |
| 93976 |
|
73 |
70 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
70 |
67 |
$1K |
| 73030 |
|
122 |
115 |
$1K |
| 76830 |
Ultrasound, transvaginal |
17 |
13 |
$611.15 |
| 72100 |
|
46 |
44 |
$560.68 |
| 73110 |
|
19 |
16 |
$275.44 |
| 73562 |
|
14 |
13 |
$89.54 |
| 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) |
527 |
499 |
$0.00 |
| 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 |
312 |
300 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
43 |
42 |
$0.00 |