| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
252 |
242 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
182 |
179 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
239 |
233 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
86 |
82 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
799 |
626 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
73 |
65 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
367 |
344 |
$2K |
| 76830 |
Ultrasound, transvaginal |
50 |
48 |
$2K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
47 |
43 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
68 |
57 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
27 |
27 |
$852.79 |
| 77066 |
Tomosynthesis, mammo |
28 |
25 |
$692.76 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
18 |
13 |
$608.28 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
16 |
15 |
$453.50 |
| 73562 |
|
23 |
14 |
$343.40 |
| 77065 |
Tomosynthesis, mammo |
13 |
13 |
$317.72 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
12 |
$292.16 |
| 76642 |
|
15 |
13 |
$249.72 |
| 71250 |
|
14 |
13 |
$93.20 |
| G9638 |
Final reports without 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) |
360 |
356 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
40 |
39 |
$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) |
238 |
191 |
$0.00 |