| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
440 |
415 |
$24K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
492 |
470 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
2,483 |
2,213 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
69 |
68 |
$7K |
| 71271 |
|
146 |
138 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
682 |
643 |
$4K |
| 71250 |
|
88 |
77 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
65 |
64 |
$2K |
| 73630 |
|
135 |
131 |
$1K |
| 74018 |
|
63 |
58 |
$281.79 |
| 72100 |
|
24 |
24 |
$281.52 |
| 73610 |
|
15 |
15 |
$177.43 |
| 73130 |
|
12 |
12 |
$121.50 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
13 |
13 |
$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 |
230 |
221 |
$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) |
623 |
571 |
$0.00 |