| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
895 |
887 |
$25K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,873 |
1,793 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,870 |
3,332 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
123 |
122 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
212 |
208 |
$931.80 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
55 |
55 |
$863.74 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
37 |
37 |
$839.20 |
| 76770 |
|
108 |
107 |
$742.98 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
46 |
44 |
$595.86 |
| 71250 |
|
57 |
57 |
$467.00 |
| 93970 |
|
54 |
52 |
$431.97 |
| 72170 |
|
12 |
12 |
$14.98 |
| 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) |
1,161 |
856 |
$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 |
13 |
12 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
171 |
141 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
449 |
384 |
$0.00 |