| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
606 |
604 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
778 |
763 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,288 |
1,201 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
679 |
674 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
55 |
55 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
31 |
31 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$824.19 |
| 73610 |
|
12 |
12 |
$75.54 |
| 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) |
543 |
513 |
$0.25 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
187 |
185 |
$0.15 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
988 |
386 |
$0.00 |