| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
410 |
407 |
$28K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
335 |
325 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
418 |
412 |
$15K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
139 |
138 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,096 |
1,071 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
183 |
180 |
$2K |
| 93976 |
|
24 |
24 |
$1K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
18 |
18 |
$800.72 |
| 76536 |
|
13 |
13 |
$595.87 |
| 71250 |
|
14 |
12 |
$520.21 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$347.70 |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$340.98 |
| 73630 |
|
26 |
25 |
$192.38 |
| 73130 |
|
13 |
13 |
$111.75 |
| 73610 |
|
13 |
12 |
$94.04 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
449 |
438 |
$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) |
718 |
698 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
76 |
73 |
$0.00 |