| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
613 |
596 |
$29K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
320 |
307 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
213 |
204 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
146 |
139 |
$7K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
58 |
53 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,145 |
990 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
197 |
182 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
264 |
243 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
30 |
$1K |
| 93971 |
|
46 |
43 |
$927.69 |
| 76830 |
Ultrasound, transvaginal |
16 |
16 |
$732.08 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
15 |
15 |
$694.83 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
23 |
22 |
$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) |
76 |
68 |
$0.00 |