| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
516 |
514 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,061 |
1,048 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,149 |
1,143 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,983 |
1,895 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
90 |
90 |
$2K |
| 71250 |
|
16 |
16 |
$205.38 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$145.85 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$119.56 |
| 73630 |
|
15 |
13 |
$21.81 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
124 |
120 |
$0.21 |
| 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) |
943 |
911 |
$0.09 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
870 |
324 |
$0.00 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
14 |
13 |
$0.00 |