| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
531 |
524 |
$13K |
| 71250 |
|
361 |
357 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
127 |
126 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
571 |
510 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
73 |
72 |
$911.77 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
55 |
55 |
$410.51 |
| 70450 |
Computed tomography, head or brain; without contrast material |
40 |
40 |
$342.42 |
| 71046 |
Radiologic examination, chest; 2 views |
52 |
52 |
$123.41 |
| 76770 |
|
14 |
14 |
$49.41 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
124 |
124 |
$0.33 |
| 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) |
600 |
582 |
$0.02 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
220 |
110 |
$0.00 |