| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,754 |
2,574 |
$167K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
1,079 |
1,051 |
$117K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
964 |
927 |
$105K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
830 |
802 |
$86K |
| 72141 |
|
291 |
281 |
$34K |
| 72100 |
|
725 |
711 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,454 |
1,359 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
2,556 |
2,137 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
99 |
92 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
168 |
161 |
$4K |
| 72040 |
|
117 |
115 |
$2K |
| 73630 |
|
105 |
82 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 73030 |
|
35 |
25 |
$497.95 |
| 74018 |
|
91 |
84 |
$469.28 |
| 73130 |
|
43 |
41 |
$388.10 |
| 72131 |
|
12 |
12 |
$217.88 |
| 73140 |
|
12 |
12 |
$172.66 |
| 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 |
226 |
214 |
$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) |
754 |
658 |
$0.00 |