| Code | Description | Claims | Beneficiaries | Total Paid |
| 78264 |
|
187 |
183 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
88 |
87 |
$5K |
| 78227 |
|
131 |
131 |
$4K |
| 71271 |
|
60 |
60 |
$3K |
| 71250 |
|
67 |
67 |
$2K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
33 |
33 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
171 |
169 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$826.00 |
| 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) |
166 |
165 |
$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 |
40 |
40 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
92 |
91 |
$0.00 |