| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,375 |
1,358 |
$90K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,119 |
1,099 |
$67K |
| 71250 |
|
573 |
566 |
$23K |
| 93976 |
|
311 |
307 |
$16K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
172 |
171 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,918 |
1,844 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
175 |
173 |
$6K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
105 |
105 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
583 |
578 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
193 |
190 |
$5K |
| 74178 |
|
46 |
45 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
82 |
74 |
$2K |
| 71271 |
|
40 |
40 |
$2K |
| 76536 |
|
63 |
60 |
$1K |
| 76830 |
Ultrasound, transvaginal |
15 |
15 |
$423.83 |
| 93971 |
|
13 |
12 |
$252.28 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
894 |
887 |
$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) |
1,048 |
1,039 |
$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 |
164 |
163 |
$0.00 |