| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
763 |
678 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
647 |
595 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,728 |
1,575 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
2,733 |
2,181 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
142 |
133 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
141 |
131 |
$1K |
| 72100 |
|
300 |
280 |
$1K |
| 74022 |
|
135 |
125 |
$822.13 |
| 93971 |
|
85 |
81 |
$525.30 |
| 73560 |
|
179 |
158 |
$510.24 |
| 74018 |
|
119 |
109 |
$462.29 |
| 73630 |
|
109 |
100 |
$403.06 |
| 71250 |
|
43 |
42 |
$395.36 |
| 73130 |
|
87 |
78 |
$347.63 |
| 73610 |
|
73 |
69 |
$296.94 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$255.06 |
| 73030 |
|
60 |
54 |
$211.58 |
| 73502 |
|
45 |
43 |
$163.14 |
| 73110 |
|
29 |
27 |
$118.25 |
| 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) |
308 |
234 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
132 |
112 |
$0.00 |