| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
3,538 |
3,143 |
$107K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,102 |
4,151 |
$99K |
| 71045 |
Radiologic examination, chest; single view |
26,613 |
18,163 |
$71K |
| 71046 |
Radiologic examination, chest; 2 views |
5,218 |
4,542 |
$23K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
196 |
194 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
108 |
96 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
171 |
141 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
196 |
194 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
157 |
141 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
133 |
108 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
30 |
28 |
$833.41 |
| 93971 |
|
14 |
13 |
$307.25 |
| 73610 |
|
65 |
63 |
$272.34 |
| 93970 |
|
19 |
13 |
$260.62 |
| 74018 |
|
62 |
52 |
$239.15 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$195.21 |
| 76830 |
Ultrasound, transvaginal |
12 |
12 |
$173.83 |
| 73630 |
|
43 |
38 |
$135.42 |
| 76937 |
|
18 |
13 |
$81.60 |
| 73110 |
|
12 |
12 |
$56.67 |
| 36410 |
|
14 |
12 |
$55.89 |
| 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) |
2,919 |
1,573 |
$0.94 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
760 |
377 |
$0.17 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
495 |
312 |
$0.16 |
| 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 |
107 |
65 |
$0.03 |
| 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 |
24 |
14 |
$0.00 |