| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
978 |
930 |
$41K |
| 70450 |
Computed tomography, head or brain; without contrast material |
674 |
634 |
$35K |
| 71046 |
Radiologic examination, chest; 2 views |
1,178 |
1,096 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,707 |
1,483 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
163 |
157 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
38 |
37 |
$4K |
| 73630 |
|
203 |
185 |
$2K |
| 73610 |
|
128 |
121 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
12 |
$1K |
| 93971 |
|
141 |
98 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
40 |
39 |
$789.21 |
| 73130 |
|
79 |
76 |
$735.94 |
| 73030 |
|
44 |
42 |
$393.18 |
| 73110 |
|
27 |
26 |
$253.06 |
| 73560 |
|
19 |
12 |
$145.80 |
| 73564 |
|
12 |
12 |
$142.61 |
| 73502 |
|
14 |
14 |
$54.00 |
| 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) |
926 |
838 |
$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 |
334 |
319 |
$0.00 |