| Code | Description | Claims | Beneficiaries | Total Paid |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
307 |
307 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
562 |
547 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
1,135 |
918 |
$845.78 |
| 71250 |
|
82 |
80 |
$779.55 |
| 72100 |
|
43 |
43 |
$718.90 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
40 |
$540.37 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
12 |
12 |
$420.80 |
| 93880 |
|
108 |
108 |
$395.16 |
| 71046 |
Radiologic examination, chest; 2 views |
19 |
19 |
$246.55 |
| 72070 |
|
13 |
13 |
$168.39 |
| 93970 |
|
52 |
52 |
$117.19 |
| 76376 |
|
14 |
14 |
$9.45 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
176 |
166 |
$0.20 |
| 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) |
582 |
491 |
$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 |
17 |
16 |
$0.00 |
| 3100F |
|
14 |
14 |
$0.00 |