| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
4,144 |
3,811 |
$155K |
| 70450 |
Computed tomography, head or brain; without contrast material |
5,542 |
4,946 |
$105K |
| 71045 |
Radiologic examination, chest; single view |
27,991 |
18,116 |
$75K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,217 |
1,098 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
6,044 |
5,325 |
$24K |
| 74018 |
|
3,304 |
2,544 |
$10K |
| 76770 |
|
146 |
126 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
72 |
68 |
$2K |
| 72100 |
|
171 |
166 |
$1K |
| 73560 |
|
277 |
231 |
$1K |
| 73630 |
|
126 |
115 |
$811.59 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
27 |
26 |
$751.91 |
| 73610 |
|
110 |
98 |
$749.69 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
39 |
39 |
$587.11 |
| 73030 |
|
75 |
70 |
$420.80 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$403.82 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
62 |
56 |
$390.36 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
12 |
$296.68 |
| 73502 |
|
76 |
68 |
$237.77 |
| 71250 |
|
21 |
18 |
$183.39 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
12 |
12 |
$168.00 |
| 72110 |
|
13 |
13 |
$145.10 |
| 73110 |
|
13 |
12 |
$80.00 |
| 73130 |
|
14 |
12 |
$73.13 |
| 74230 |
|
13 |
12 |
$57.00 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
186 |
166 |
$0.00 |
| 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) |
140 |
126 |
$0.00 |