| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
438 |
409 |
$16K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
262 |
250 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
568 |
525 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,324 |
1,911 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,038 |
957 |
$6K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
189 |
177 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
77 |
71 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
109 |
102 |
$2K |
| 74018 |
|
239 |
218 |
$1K |
| 72100 |
|
255 |
238 |
$1K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
67 |
62 |
$1K |
| 73560 |
|
288 |
239 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
64 |
61 |
$883.56 |
| 73630 |
|
206 |
178 |
$793.15 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
30 |
26 |
$643.50 |
| 73610 |
|
154 |
134 |
$629.37 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
32 |
32 |
$619.26 |
| 73030 |
|
139 |
128 |
$485.52 |
| 73130 |
|
118 |
103 |
$479.11 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
12 |
$419.78 |
| 93971 |
|
37 |
32 |
$298.76 |
| 74019 |
|
29 |
27 |
$201.70 |
| 76536 |
|
17 |
15 |
$175.38 |
| 75635 |
|
16 |
16 |
$165.59 |
| 72040 |
|
30 |
25 |
$136.63 |
| 73110 |
|
32 |
25 |
$90.38 |
| 73502 |
|
13 |
12 |
$34.75 |
| 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) |
549 |
483 |
$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 |
26 |
25 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
148 |
141 |
$0.00 |