| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
696 |
622 |
$27K |
| 70450 |
Computed tomography, head or brain; without contrast material |
909 |
812 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
3,809 |
3,494 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
1,472 |
1,266 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
55 |
54 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
28 |
$996.96 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
28 |
26 |
$741.69 |
| 73630 |
|
108 |
90 |
$677.48 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$335.50 |
| 73610 |
|
28 |
25 |
$197.27 |
| 73030 |
|
31 |
28 |
$191.93 |
| 73562 |
|
12 |
12 |
$97.94 |
| 74018 |
|
12 |
12 |
$71.35 |
| G9638 |
Final reports without 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) |
1,611 |
1,175 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
127 |
97 |
$0.00 |
| G9556 |
Final reports for ct, cta, mri or mra of the chest or neck with follow-up imaging not recommended |
20 |
18 |
$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) |
2,051 |
1,494 |
$0.00 |
| 7025F |
|
29 |
29 |
$0.00 |
| 3341F |
|
13 |
13 |
$0.00 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
28 |
27 |
$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 |
20 |
15 |
$0.00 |