| Code | Description | Claims | Bene. Records | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
423 |
394 |
$16K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
245 |
234 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
96 |
94 |
$3K |
| 74018 |
|
590 |
435 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
16 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
38 |
$215.16 |
| 71045 |
Radiologic examination, chest; single view |
23 |
18 |
$88.57 |
| 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) |
22 |
18 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
38 |
30 |
$0.00 |