| Code | Description | Claims | Beneficiaries | Total Paid |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
870 |
827 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
410 |
381 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
244 |
220 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,213 |
1,779 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
766 |
713 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
282 |
256 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
108 |
97 |
$3K |
| 74018 |
|
152 |
134 |
$691.71 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
28 |
27 |
$687.44 |
| 72110 |
|
121 |
94 |
$647.76 |
| 72100 |
|
33 |
33 |
$525.86 |
| 73610 |
|
13 |
12 |
$196.57 |
| 72050 |
|
29 |
25 |
$188.10 |
| 73030 |
|
16 |
15 |
$172.61 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$116.22 |
| 73562 |
|
13 |
13 |
$72.48 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
502 |
430 |
$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) |
507 |
435 |
$0.00 |