| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,967 |
2,289 |
$56K |
| 71045 |
Radiologic examination, chest; single view |
25,973 |
18,514 |
$52K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,145 |
3,754 |
$52K |
| 71046 |
Radiologic examination, chest; 2 views |
10,960 |
8,344 |
$33K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
850 |
828 |
$7K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
474 |
470 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
93 |
68 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
38 |
25 |
$996.21 |
| 73630 |
|
202 |
176 |
$891.23 |
| 73610 |
|
91 |
77 |
$351.79 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
20 |
15 |
$315.21 |
| 74019 |
|
50 |
39 |
$216.34 |
| 73562 |
|
65 |
50 |
$214.83 |
| 73110 |
|
39 |
36 |
$193.98 |
| 74018 |
|
60 |
48 |
$175.87 |
| 73130 |
|
16 |
13 |
$92.97 |
| 73502 |
|
20 |
14 |
$35.85 |
| 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 |
4,547 |
2,191 |
$0.09 |
| 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) |
19,316 |
9,073 |
$0.09 |
| 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) |
253 |
118 |
$0.00 |
| 3342F |
|
58 |
49 |
$0.00 |
| 7025F |
|
164 |
154 |
$0.00 |