| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,957 |
5,422 |
$145K |
| 71045 |
Radiologic examination, chest; single view |
32,000 |
25,949 |
$136K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,220 |
2,057 |
$135K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
4,790 |
4,638 |
$113K |
| 71046 |
Radiologic examination, chest; 2 views |
12,480 |
11,917 |
$82K |
| 76642 |
|
1,842 |
1,509 |
$34K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
515 |
492 |
$28K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
381 |
370 |
$8K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
193 |
180 |
$7K |
| 77065 |
Tomosynthesis, mammo |
279 |
266 |
$6K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
156 |
149 |
$4K |
| 77066 |
Tomosynthesis, mammo |
94 |
92 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
28 |
25 |
$2K |
| 73630 |
|
88 |
77 |
$523.76 |
| 72100 |
|
39 |
39 |
$303.97 |
| 73610 |
|
29 |
25 |
$157.75 |
| 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) |
972 |
777 |
$65.28 |
| S9999 |
Sales tax |
214 |
211 |
$11.50 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
50 |
39 |
$0.00 |