| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
809 |
807 |
$21K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
92 |
91 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
67 |
67 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
323 |
285 |
$618.19 |
| 76770 |
|
96 |
96 |
$506.43 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
74 |
74 |
$491.22 |
| 71250 |
|
26 |
26 |
$207.61 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
28 |
$64.72 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
443 |
431 |
$0.23 |
| 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) |
527 |
525 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
501 |
222 |
$0.00 |