| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,201 |
1,102 |
$74K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,456 |
1,360 |
$36K |
| 71045 |
Radiologic examination, chest; single view |
6,613 |
4,567 |
$36K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
1,093 |
1,018 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
290 |
287 |
$21K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
624 |
615 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
54 |
42 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
39 |
25 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
521 |
511 |
$5K |
| 72141 |
|
18 |
12 |
$2K |
| 73610 |
|
285 |
267 |
$2K |
| 73630 |
|
271 |
243 |
$2K |
| 76813 |
|
37 |
14 |
$2K |
| 74018 |
|
234 |
192 |
$895.30 |
| 73562 |
|
109 |
100 |
$798.87 |
| 73130 |
|
95 |
86 |
$759.59 |
| 73110 |
|
58 |
57 |
$509.01 |
| 71010 |
|
67 |
47 |
$418.80 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$376.14 |
| 93971 |
|
26 |
25 |
$305.67 |
| 73030 |
|
24 |
24 |
$185.89 |
| 71250 |
|
12 |
12 |
$146.89 |
| 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) |
304 |
260 |
$0.30 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
151 |
127 |
$0.15 |
| G9329 |
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 not documented in final report, reason not given |
96 |
88 |
$0.14 |
| 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) |
14 |
12 |
$0.00 |