| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
147 |
127 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,500 |
1,279 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
716 |
688 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
66 |
63 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
56 |
56 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
60 |
50 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
16 |
16 |
$287.52 |
| 73630 |
|
29 |
28 |
$259.13 |
| 72100 |
|
13 |
13 |
$186.55 |
| 74018 |
|
14 |
13 |
$49.50 |
| 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) |
112 |
98 |
$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 |
29 |
27 |
$0.00 |