| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,448 |
1,361 |
$95K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
551 |
512 |
$27K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
172 |
170 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
2,065 |
1,802 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
244 |
218 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
171 |
166 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
57 |
54 |
$6K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
89 |
86 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
616 |
515 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
30 |
29 |
$3K |
| 73630 |
|
128 |
113 |
$1K |
| 73130 |
|
101 |
87 |
$988.84 |
| 73610 |
|
66 |
65 |
$831.92 |
| 72100 |
|
12 |
12 |
$169.06 |
| 73110 |
|
12 |
12 |
$134.91 |
| 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) |
703 |
602 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
203 |
195 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
14 |
13 |
$0.00 |