| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
791 |
724 |
$50K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
709 |
666 |
$30K |
| 71046 |
Radiologic examination, chest; 2 views |
952 |
884 |
$5K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
160 |
117 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
670 |
550 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
26 |
$1K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
12 |
$649.00 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
13 |
$377.90 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
20 |
20 |
$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 |
15 |
13 |
$0.00 |