| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,356 |
3,455 |
$170K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,066 |
3,766 |
$76K |
| 71045 |
Radiologic examination, chest; single view |
14,183 |
10,645 |
$60K |
| 71046 |
Radiologic examination, chest; 2 views |
6,439 |
5,520 |
$36K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
225 |
191 |
$10K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
509 |
413 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
172 |
133 |
$5K |
| 74018 |
|
685 |
545 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
89 |
63 |
$3K |
| 73630 |
|
545 |
470 |
$3K |
| 73130 |
|
326 |
271 |
$2K |
| 73610 |
|
183 |
146 |
$877.53 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
30 |
25 |
$707.50 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
30 |
25 |
$648.34 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
16 |
12 |
$314.22 |
| 76770 |
|
17 |
12 |
$247.92 |
| 73030 |
|
52 |
36 |
$160.97 |
| 73564 |
|
19 |
14 |
$119.11 |
| 73110 |
|
12 |
12 |
$73.60 |
| G9329 |
Dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study not documented in final report, reason not given |
804 |
665 |
$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 |
299 |
259 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
53 |
52 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
134 |
111 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
21 |
12 |
$0.00 |
| 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) |
16 |
14 |
$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) |
4,576 |
3,570 |
$0.00 |
| G9326 |
Ct studies performed not reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements, reason not given |
1,113 |
873 |
$0.00 |