| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,875 |
1,784 |
$113K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,068 |
2,005 |
$96K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,337 |
1,303 |
$52K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
291 |
267 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
4,115 |
3,677 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
2,581 |
2,348 |
$15K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
377 |
376 |
$7K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
84 |
75 |
$3K |
| 71250 |
|
59 |
55 |
$2K |
| 74018 |
|
324 |
287 |
$2K |
| 73630 |
|
167 |
159 |
$2K |
| 76830 |
Ultrasound, transvaginal |
45 |
29 |
$2K |
| 73610 |
|
105 |
100 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
42 |
26 |
$1K |
| 73130 |
|
102 |
80 |
$984.95 |
| 76770 |
|
25 |
24 |
$727.27 |
| 93976 |
|
33 |
33 |
$718.21 |
| 73030 |
|
47 |
42 |
$459.34 |
| 73110 |
|
12 |
12 |
$141.99 |
| 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) |
1,343 |
1,267 |
$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 |
558 |
539 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
69 |
66 |
$0.00 |