| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,280 |
1,190 |
$77K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
841 |
789 |
$36K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
127 |
109 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
320 |
305 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
117 |
110 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
2,706 |
2,417 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,323 |
1,233 |
$7K |
| 73221 |
|
48 |
48 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
138 |
126 |
$3K |
| 73630 |
|
258 |
206 |
$3K |
| 73610 |
|
130 |
96 |
$2K |
| 73130 |
|
133 |
111 |
$1K |
| 73110 |
|
54 |
39 |
$604.14 |
| 73030 |
|
50 |
49 |
$377.72 |
| 74018 |
|
33 |
29 |
$143.97 |
| 72100 |
|
13 |
13 |
$139.15 |
| 73560 |
|
22 |
15 |
$117.97 |
| 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 |
171 |
159 |
$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) |
805 |
696 |
$0.00 |