| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,741 |
4,392 |
$152K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
7,044 |
5,281 |
$132K |
| 70450 |
Computed tomography, head or brain; without contrast material |
10,288 |
7,555 |
$85K |
| 71045 |
Radiologic examination, chest; single view |
40,883 |
27,031 |
$71K |
| 71046 |
Radiologic examination, chest; 2 views |
10,100 |
8,098 |
$42K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
563 |
428 |
$12K |
| 74018 |
|
2,244 |
1,734 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
490 |
380 |
$6K |
| 73630 |
|
1,185 |
922 |
$4K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
396 |
288 |
$4K |
| 73610 |
|
463 |
360 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
294 |
244 |
$2K |
| 73564 |
|
391 |
267 |
$1K |
| 93976 |
|
91 |
60 |
$1K |
| 71250 |
|
168 |
121 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
84 |
70 |
$1K |
| 73030 |
|
306 |
217 |
$946.30 |
| 73130 |
|
165 |
134 |
$686.54 |
| 93971 |
|
106 |
80 |
$554.60 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
14 |
13 |
$536.98 |
| 73110 |
|
90 |
67 |
$293.56 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$283.45 |
| 76775 |
|
44 |
37 |
$225.59 |
| 72110 |
|
48 |
40 |
$146.23 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
12 |
12 |
$67.68 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
15 |
13 |
$57.09 |
| 73560 |
|
15 |
12 |
$50.66 |
| 73502 |
|
20 |
12 |
$28.43 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
4,864 |
3,672 |
$19.79 |
| 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) |
6,069 |
3,813 |
$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 |
300 |
242 |
$0.00 |
| 7025F |
|
43 |
39 |
$0.00 |
| 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) |
3,241 |
2,330 |
$0.00 |