| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,679 |
3,942 |
$211K |
| 70450 |
Computed tomography, head or brain; without contrast material |
4,986 |
4,298 |
$92K |
| 71045 |
Radiologic examination, chest; single view |
15,499 |
11,830 |
$65K |
| 71046 |
Radiologic examination, chest; 2 views |
4,931 |
4,385 |
$32K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
644 |
575 |
$26K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
895 |
637 |
$18K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
640 |
553 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
221 |
203 |
$10K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
308 |
226 |
$6K |
| 76830 |
Ultrasound, transvaginal |
278 |
233 |
$6K |
| 73630 |
|
704 |
592 |
$4K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
193 |
158 |
$3K |
| 73610 |
|
675 |
552 |
$3K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
193 |
157 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
119 |
101 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
105 |
79 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
81 |
77 |
$2K |
| 74018 |
|
397 |
328 |
$2K |
| 73130 |
|
349 |
307 |
$2K |
| 72100 |
|
241 |
204 |
$1K |
| 73110 |
|
183 |
158 |
$1K |
| 73564 |
|
154 |
140 |
$1K |
| 73030 |
|
167 |
148 |
$818.03 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
24 |
24 |
$452.34 |
| 76801 |
|
13 |
12 |
$405.00 |
| 73502 |
|
28 |
26 |
$179.67 |
| 73140 |
|
15 |
14 |
$71.98 |
| 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) |
5,728 |
4,438 |
$0.00 |
| G9638 |
Final reports without 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) |
19 |
16 |
$0.00 |