| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
368 |
338 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
4,216 |
3,602 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
165 |
142 |
$19K |
| 70450 |
Computed tomography, head or brain; without contrast material |
282 |
249 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
1,217 |
1,155 |
$11K |
| 73630 |
|
150 |
128 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$692.35 |
| 74018 |
|
28 |
28 |
$603.16 |
| 73610 |
|
41 |
38 |
$493.79 |
| 73562 |
|
13 |
12 |
$192.28 |
| 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) |
959 |
806 |
$0.00 |
| G9550 |
Final reports for imaging studies with follow-up imaging recommended, or final reports that do not include a specific recommendation of no follow-up |
204 |
196 |
$0.00 |