| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,109 |
1,020 |
$40K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,869 |
1,693 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
963 |
865 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
4,770 |
3,679 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,414 |
2,161 |
$12K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
96 |
95 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
58 |
51 |
$2K |
| 36902 |
|
50 |
37 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
83 |
75 |
$990.05 |
| 99152 |
|
504 |
393 |
$720.74 |
| 73564 |
|
133 |
122 |
$681.45 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
27 |
25 |
$641.62 |
| 76937 |
|
530 |
389 |
$581.19 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
38 |
27 |
$489.86 |
| 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) |
2,202 |
1,702 |
$335.24 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
250 |
226 |
$322.18 |
| 73610 |
|
43 |
41 |
$246.30 |
| 74018 |
|
66 |
65 |
$235.10 |
| 76770 |
|
13 |
12 |
$233.64 |
| 72110 |
|
45 |
42 |
$230.06 |
| G9638 |
Final reports without 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) |
125 |
107 |
$215.12 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
1,340 |
1,208 |
$192.53 |
| 73630 |
|
47 |
41 |
$174.90 |
| 73030 |
|
15 |
13 |
$75.80 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
110 |
100 |
$60.40 |
| G9198 |
Order for first or second generation cephalosporin for antimicrobial prophylaxis was not documented, reason not given |
27 |
27 |
$0.00 |
| 4044F |
|
27 |
27 |
$0.00 |