| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
272 |
254 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
180 |
170 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
484 |
443 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,367 |
1,733 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
156 |
152 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
538 |
501 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
22 |
19 |
$868.90 |
| 74018 |
|
209 |
143 |
$702.20 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$488.29 |
| 72110 |
|
63 |
54 |
$434.64 |
| 72100 |
|
30 |
28 |
$218.07 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
13 |
$154.86 |
| 73610 |
|
12 |
12 |
$77.25 |
| 73030 |
|
13 |
12 |
$69.44 |
| 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) |
318 |
262 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
269 |
224 |
$0.00 |