| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
705 |
703 |
$50K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
477 |
474 |
$31K |
| 70450 |
Computed tomography, head or brain; without contrast material |
398 |
393 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,811 |
1,695 |
$13K |
| 71046 |
Radiologic examination, chest; 2 views |
350 |
350 |
$3K |
| 93976 |
|
56 |
56 |
$3K |
| 71250 |
|
40 |
38 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
39 |
39 |
$951.76 |
| 76830 |
Ultrasound, transvaginal |
30 |
30 |
$832.93 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$665.80 |
| 76536 |
|
14 |
13 |
$351.60 |
| 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) |
475 |
465 |
$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 |
12 |
12 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
297 |
293 |
$0.00 |