| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,528 |
1,448 |
$65K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
968 |
919 |
$39K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,610 |
1,480 |
$31K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
2,333 |
2,263 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
5,551 |
5,078 |
$27K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
2,161 |
2,110 |
$23K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
387 |
378 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
2,252 |
1,835 |
$8K |
| 73630 |
|
2,100 |
1,757 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
205 |
200 |
$8K |
| 71250 |
|
384 |
364 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
134 |
125 |
$5K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
156 |
141 |
$5K |
| 72100 |
|
844 |
821 |
$5K |
| 93976 |
|
176 |
167 |
$5K |
| 73030 |
|
923 |
851 |
$4K |
| 73562 |
|
822 |
706 |
$4K |
| 73610 |
|
688 |
637 |
$3K |
| 73502 |
|
433 |
413 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
162 |
159 |
$2K |
| 71271 |
|
87 |
85 |
$2K |
| 73130 |
|
419 |
351 |
$2K |
| 76830 |
Ultrasound, transvaginal |
49 |
49 |
$951.43 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
14 |
$377.98 |
| 74018 |
|
56 |
39 |
$197.98 |
| 77080 |
|
99 |
91 |
$192.86 |
| 73564 |
|
37 |
31 |
$151.43 |
| 73110 |
|
33 |
28 |
$120.84 |
| 72050 |
|
25 |
24 |
$113.20 |
| 73140 |
|
26 |
25 |
$110.34 |
| 74022 |
|
13 |
13 |
$69.24 |
| 7025F |
|
909 |
898 |
$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) |
1,977 |
1,483 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
618 |
566 |
$0.00 |
| 3341F |
|
25 |
25 |
$0.00 |
| G9754 |
A finding of an incidental pulmonary nodule |
12 |
12 |
$0.00 |
| 3342F |
|
396 |
394 |
$0.00 |
| 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) |
395 |
318 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
1,804 |
1,567 |
$0.00 |