| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
654 |
628 |
$35K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
226 |
191 |
$35K |
| 70450 |
Computed tomography, head or brain; without contrast material |
518 |
494 |
$29K |
| 71046 |
Radiologic examination, chest; 2 views |
1,991 |
1,920 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,008 |
1,812 |
$7K |
| 73630 |
|
242 |
229 |
$3K |
| 73221 |
|
14 |
12 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
52 |
50 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
24 |
24 |
$2K |
| 73130 |
|
164 |
156 |
$2K |
| 74018 |
|
244 |
230 |
$2K |
| 73110 |
|
113 |
108 |
$2K |
| 73030 |
|
104 |
101 |
$1K |
| 73610 |
|
80 |
79 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
25 |
$1K |
| 71250 |
|
24 |
24 |
$852.36 |
| 73562 |
|
41 |
38 |
$386.18 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$360.99 |
| 73560 |
|
12 |
12 |
$110.00 |
| 73502 |
|
12 |
12 |
$68.44 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
118 |
116 |
$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) |
316 |
287 |
$0.00 |