| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
187 |
184 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,312 |
1,280 |
$11K |
| 93976 |
|
184 |
179 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
98 |
98 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
736 |
695 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
148 |
147 |
$5K |
| 73630 |
|
542 |
507 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
90 |
90 |
$2K |
| 73610 |
|
200 |
198 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
60 |
50 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
31 |
30 |
$1K |
| 76536 |
|
32 |
32 |
$724.91 |
| 73110 |
|
68 |
65 |
$543.39 |
| 73030 |
|
54 |
51 |
$465.61 |
| 76830 |
Ultrasound, transvaginal |
15 |
15 |
$463.76 |
| 74018 |
|
61 |
61 |
$452.52 |
| 72110 |
|
26 |
26 |
$357.24 |
| 73562 |
|
42 |
40 |
$335.40 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$334.06 |
| 73130 |
|
14 |
14 |
$97.07 |
| 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) |
321 |
317 |
$0.00 |
| 7025F |
|
29 |
29 |
$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 |
28 |
28 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
253 |
249 |
$0.00 |