| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
3,143 |
1,751 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
264 |
200 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
652 |
459 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,156 |
953 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
31 |
26 |
$977.30 |
| 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) |
891 |
496 |
$449.49 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$338.83 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
19 |
18 |
$294.83 |
| 76770 |
|
17 |
13 |
$129.24 |
| 74018 |
|
12 |
12 |
$79.79 |
| 73610 |
|
14 |
12 |
$62.91 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
345 |
203 |
$0.00 |