| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
225 |
205 |
$12K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
202 |
186 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
2,174 |
1,620 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
801 |
759 |
$4K |
| 73630 |
|
257 |
222 |
$3K |
| 74018 |
|
278 |
225 |
$907.30 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
30 |
27 |
$847.42 |
| 73610 |
|
45 |
37 |
$631.99 |
| 72100 |
|
31 |
25 |
$365.56 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$292.68 |
| 73110 |
|
13 |
12 |
$199.80 |
| 73030 |
|
14 |
12 |
$174.14 |
| 73502 |
|
12 |
12 |
$63.73 |
| 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) |
241 |
194 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
142 |
111 |
$0.00 |