| Code | Description | Claims | Beneficiaries | Total Paid |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
797 |
712 |
$99K |
| 70450 |
Computed tomography, head or brain; without contrast material |
772 |
730 |
$42K |
| 73221 |
|
235 |
211 |
$29K |
| 71045 |
Radiologic examination, chest; single view |
2,986 |
2,638 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,887 |
1,743 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
121 |
112 |
$6K |
| 73630 |
|
476 |
432 |
$5K |
| 73610 |
|
369 |
342 |
$4K |
| 73030 |
|
388 |
347 |
$4K |
| 73562 |
|
166 |
165 |
$2K |
| 74018 |
|
241 |
215 |
$1K |
| 73130 |
|
116 |
114 |
$1K |
| 72100 |
|
73 |
66 |
$798.63 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
12 |
$456.18 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$370.14 |
| 73560 |
|
51 |
39 |
$370.01 |
| 73110 |
|
37 |
37 |
$354.30 |
| 73502 |
|
60 |
60 |
$340.50 |
| 71250 |
|
15 |
12 |
$275.99 |
| 73564 |
|
12 |
12 |
$181.28 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
73 |
70 |
$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) |
398 |
352 |
$0.00 |