| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
5,975 |
5,918 |
$408K |
| 71045 |
Radiologic examination, chest; single view |
43,991 |
28,563 |
$286K |
| 70450 |
Computed tomography, head or brain; without contrast material |
7,733 |
7,193 |
$225K |
| 71046 |
Radiologic examination, chest; 2 views |
5,940 |
5,801 |
$52K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
678 |
668 |
$41K |
| 74018 |
|
4,684 |
3,199 |
$33K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
531 |
523 |
$30K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
1,257 |
1,239 |
$28K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
369 |
369 |
$12K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
396 |
377 |
$11K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
355 |
355 |
$9K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
288 |
288 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
95 |
94 |
$6K |
| 74183 |
|
81 |
81 |
$6K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
40 |
40 |
$3K |
| 76642 |
|
107 |
107 |
$3K |
| 76830 |
Ultrasound, transvaginal |
107 |
107 |
$3K |
| 76770 |
|
96 |
93 |
$2K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
24 |
24 |
$2K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
38 |
38 |
$2K |
| 76801 |
|
40 |
40 |
$2K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
26 |
26 |
$767.75 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
14 |
14 |
$633.37 |
| 73630 |
|
71 |
66 |
$504.53 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$421.96 |
| G0279 |
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) |
13 |
13 |
$320.76 |
| 71250 |
|
12 |
12 |
$256.18 |
| 74019 |
|
12 |
12 |
$113.97 |
| 73562 |
|
13 |
12 |
$96.35 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
1,329 |
1,286 |
$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) |
208 |
193 |
$0.00 |