| Code | Description | Claims | Beneficiaries | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
325 |
294 |
$13K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
29 |
27 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
146 |
136 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
520 |
448 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
144 |
133 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
29 |
28 |
$978.36 |
| 72131 |
|
27 |
26 |
$673.49 |
| 72141 |
|
13 |
12 |
$504.90 |
| 72110 |
|
45 |
43 |
$285.03 |
| 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) |
138 |
116 |
$0.00 |
| 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 |
138 |
116 |
$0.00 |