| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
491 |
472 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
345 |
340 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,019 |
1,844 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,530 |
1,332 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
116 |
116 |
$4K |
| 73630 |
|
159 |
136 |
$2K |
| 73030 |
|
78 |
65 |
$921.15 |
| 73610 |
|
59 |
53 |
$762.38 |
| 72100 |
|
58 |
51 |
$723.60 |
| 77080 |
|
70 |
69 |
$676.89 |
| 73130 |
|
66 |
56 |
$654.15 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$210.88 |
| 74018 |
|
13 |
13 |
$60.17 |
| 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) |
418 |
399 |
$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 |
49 |
46 |
$0.00 |