| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
366 |
365 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
980 |
969 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,146 |
1,133 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,262 |
1,224 |
$3K |
| 73030 |
|
70 |
67 |
$144.44 |
| 73562 |
|
76 |
75 |
$143.33 |
| 73130 |
|
70 |
67 |
$123.07 |
| 73502 |
|
27 |
27 |
$96.74 |
| 73620 |
|
52 |
50 |
$70.62 |
| 73560 |
|
30 |
29 |
$53.19 |
| 73630 |
|
30 |
30 |
$41.49 |
| 72100 |
|
25 |
25 |
$41.20 |
| 73600 |
|
15 |
14 |
$28.67 |
| 73110 |
|
15 |
14 |
$25.63 |
| 73552 |
|
14 |
13 |
$22.74 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
26 |
26 |
$0.16 |
| 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) |
477 |
466 |
$0.01 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
249 |
125 |
$0.00 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
30 |
29 |
$0.00 |