| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,367 |
1,243 |
$62K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
757 |
702 |
$59K |
| 71045 |
Radiologic examination, chest; single view |
5,575 |
4,127 |
$37K |
| 71046 |
Radiologic examination, chest; 2 views |
2,681 |
2,463 |
$26K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
246 |
226 |
$17K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
224 |
213 |
$12K |
| 74018 |
|
1,017 |
882 |
$8K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
142 |
128 |
$8K |
| 73630 |
|
528 |
464 |
$6K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
157 |
144 |
$6K |
| 73130 |
|
505 |
443 |
$5K |
| 73610 |
|
435 |
389 |
$5K |
| 74019 |
|
484 |
450 |
$5K |
| 73030 |
|
290 |
244 |
$3K |
| 73110 |
|
291 |
244 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
84 |
82 |
$2K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
40 |
37 |
$2K |
| 73560 |
|
247 |
223 |
$2K |
| 74178 |
|
22 |
19 |
$2K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
17 |
17 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
71 |
70 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
16 |
14 |
$1K |
| 72131 |
|
13 |
13 |
$1K |
| 93971 |
|
35 |
29 |
$943.29 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
21 |
13 |
$725.42 |
| 73562 |
|
71 |
62 |
$620.82 |
| 73502 |
|
84 |
71 |
$564.15 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
19 |
15 |
$242.15 |
| 72100 |
|
15 |
14 |
$204.43 |
| 74022 |
|
12 |
12 |
$189.87 |
| 72110 |
|
13 |
12 |
$182.26 |
| 73090 |
|
12 |
12 |
$127.45 |
| 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) |
596 |
559 |
$0.04 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
30 |
28 |
$0.01 |
| 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 |
43 |
41 |
$0.01 |