| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
383 |
355 |
$21K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
281 |
265 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,328 |
2,033 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
578 |
553 |
$3K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
35 |
35 |
$649.78 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
29 |
29 |
$512.16 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$362.52 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$240.91 |
| 99152 |
|
25 |
24 |
$119.78 |
| 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) |
198 |
156 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
49 |
47 |
$0.00 |