| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
674 |
668 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,317 |
1,246 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,542 |
1,333 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
126 |
123 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
31 |
$576.77 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$336.21 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$255.47 |
| 93970 |
|
13 |
13 |
$118.75 |
| 71250 |
|
12 |
12 |
$66.17 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
139 |
106 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
133 |
114 |
$0.00 |
| 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 |
15 |
14 |
$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) |
582 |
407 |
$0.00 |