| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,786 |
1,573 |
$28K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
803 |
674 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
6,583 |
5,202 |
$24K |
| 71046 |
Radiologic examination, chest; 2 views |
3,238 |
3,044 |
$20K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
342 |
329 |
$18K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
269 |
210 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
106 |
87 |
$2K |
| 74018 |
|
397 |
342 |
$2K |
| 73221 |
|
12 |
12 |
$651.79 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
17 |
16 |
$491.55 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
13 |
12 |
$329.58 |
| 73630 |
|
33 |
25 |
$95.74 |
| 73562 |
|
22 |
14 |
$84.12 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
12 |
$75.14 |
| 73130 |
|
19 |
15 |
$58.72 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
18 |
13 |
$41.63 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
68 |
58 |
$4.00 |
| 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) |
468 |
358 |
$0.00 |