| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
267 |
265 |
$17K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
205 |
204 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,082 |
1,054 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
413 |
412 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
101 |
101 |
$4K |
| 93976 |
|
44 |
44 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
34 |
34 |
$907.08 |
| 93971 |
|
12 |
12 |
$271.36 |
| 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 |
16 |
16 |
$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) |
471 |
465 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
357 |
353 |
$0.00 |