| Code | Description | Claims | Beneficiaries | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
1,363 |
1,325 |
$104K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
807 |
788 |
$52K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
673 |
646 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
930 |
873 |
$46K |
| 72141 |
|
278 |
266 |
$21K |
| 71045 |
Radiologic examination, chest; single view |
2,398 |
2,148 |
$9K |
| 72100 |
|
469 |
456 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,121 |
1,033 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
41 |
39 |
$2K |
| 73630 |
|
122 |
96 |
$1K |
| 73130 |
|
64 |
46 |
$708.11 |
| 76536 |
|
25 |
25 |
$695.36 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
61 |
60 |
$665.39 |
| 72131 |
|
14 |
14 |
$582.03 |
| 74018 |
|
148 |
133 |
$558.80 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
28 |
27 |
$509.48 |
| 73560 |
|
37 |
28 |
$411.12 |
| 73610 |
|
38 |
38 |
$401.79 |
| 73030 |
|
18 |
12 |
$237.62 |
| 93880 |
|
12 |
12 |
$174.75 |
| 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 |
136 |
126 |
$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) |
236 |
211 |
$0.00 |