| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
980 |
920 |
$35K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,423 |
1,313 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
4,837 |
4,096 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
2,753 |
2,580 |
$12K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
319 |
295 |
$10K |
| 72100 |
|
1,071 |
1,007 |
$5K |
| 74018 |
|
1,010 |
904 |
$4K |
| 73560 |
|
946 |
819 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
117 |
113 |
$3K |
| 73630 |
|
825 |
739 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
158 |
151 |
$3K |
| 73610 |
|
464 |
416 |
$2K |
| 73030 |
|
498 |
462 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
81 |
78 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
129 |
122 |
$2K |
| 73130 |
|
292 |
262 |
$1K |
| 73502 |
|
202 |
196 |
$693.02 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
31 |
30 |
$669.88 |
| 76770 |
|
40 |
40 |
$555.61 |
| 70486 |
|
28 |
26 |
$531.94 |
| 73110 |
|
131 |
116 |
$474.14 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
40 |
39 |
$449.63 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
26 |
$437.50 |
| 72050 |
|
87 |
75 |
$434.70 |
| 72072 |
|
108 |
98 |
$358.99 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
27 |
25 |
$358.87 |
| 74019 |
|
78 |
67 |
$344.93 |
| 74022 |
|
29 |
29 |
$205.12 |
| 76882 |
|
33 |
26 |
$196.86 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
18 |
12 |
$192.30 |
| 76536 |
|
12 |
12 |
$184.44 |
| 73070 |
|
28 |
24 |
$90.81 |
| 93971 |
|
12 |
12 |
$37.67 |
| 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) |
1,105 |
953 |
$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 |
317 |
283 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
527 |
495 |
$0.00 |