| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
887 |
813 |
$20K |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,263 |
1,945 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
6,730 |
5,391 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
669 |
584 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
650 |
623 |
$3K |
| 71250 |
|
238 |
217 |
$1K |
| 93970 |
|
81 |
78 |
$649.51 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
119 |
108 |
$541.22 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$183.63 |
| 93971 |
|
17 |
12 |
$43.48 |
| 73630 |
|
36 |
24 |
$34.33 |
| 74018 |
|
15 |
12 |
$21.93 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
232 |
210 |
$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) |
871 |
662 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
298 |
270 |
$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 |