| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,330 |
4,004 |
$105K |
| 71045 |
Radiologic examination, chest; single view |
20,072 |
16,937 |
$73K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,097 |
1,034 |
$46K |
| 71046 |
Radiologic examination, chest; 2 views |
4,633 |
4,194 |
$24K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
328 |
300 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
14 |
$585.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$230.00 |
| 74018 |
|
29 |
25 |
$123.44 |
| 73564 |
|
13 |
12 |
$81.32 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
91 |
81 |
$0.01 |
| 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) |
1,073 |
910 |
$0.00 |