| Code | Description | Claims | Beneficiaries | Total Paid |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
438 |
409 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
215 |
204 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
938 |
885 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,548 |
1,412 |
$5K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
77 |
57 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
214 |
199 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
32 |
30 |
$853.67 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
20 |
19 |
$457.57 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
14 |
13 |
$455.01 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$293.25 |
| 74018 |
|
30 |
27 |
$77.90 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
284 |
257 |
$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) |
310 |
279 |
$0.00 |