| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
456 |
442 |
$26K |
| 71046 |
Radiologic examination, chest; 2 views |
842 |
833 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
92 |
90 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
602 |
572 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
29 |
29 |
$2K |
| 73610 |
|
77 |
75 |
$1K |
| 73630 |
|
91 |
89 |
$1K |
| 74018 |
|
168 |
168 |
$1K |
| 73110 |
|
55 |
53 |
$895.58 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
13 |
$682.28 |
| 73130 |
|
46 |
45 |
$679.14 |
| 72100 |
|
37 |
37 |
$609.02 |
| 73030 |
|
39 |
39 |
$519.42 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$386.63 |
| 73562 |
|
18 |
17 |
$280.09 |
| 73080 |
|
13 |
12 |
$196.28 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
71 |
69 |
$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) |
67 |
66 |
$0.00 |