| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,785 |
4,660 |
$355K |
| 71045 |
Radiologic examination, chest; single view |
27,607 |
21,708 |
$190K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,741 |
5,496 |
$187K |
| 71046 |
Radiologic examination, chest; 2 views |
3,467 |
3,387 |
$29K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
153 |
147 |
$11K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
234 |
230 |
$6K |
| 99152 |
|
147 |
134 |
$2K |
| 74018 |
|
282 |
239 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
37 |
37 |
$2K |
| 49083 |
|
19 |
13 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
27 |
27 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
26 |
$896.21 |
| 93971 |
|
41 |
40 |
$677.37 |
| 73610 |
|
42 |
38 |
$324.86 |
| 73630 |
|
41 |
40 |
$247.41 |
| 73560 |
|
14 |
12 |
$116.01 |
| 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) |
866 |
683 |
$0.01 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
118 |
105 |
$0.00 |