| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
145 |
133 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,452 |
1,096 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
199 |
188 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
67 |
66 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
387 |
361 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
35 |
30 |
$894.13 |
| 74018 |
|
111 |
92 |
$485.54 |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
21 |
13 |
$311.66 |
| Q0092 |
Set-up portable x-ray equipment |
25 |
15 |
$38.10 |
| 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) |
249 |
195 |
$0.00 |
| 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 |
244 |
191 |
$0.00 |