| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
239 |
238 |
$9K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
66 |
66 |
$402.46 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
59 |
58 |
$0.12 |
| 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) |
77 |
76 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
26 |
12 |
$0.00 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
14 |
14 |
$0.00 |