| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,025 |
1,892 |
$134K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
672 |
632 |
$68K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,221 |
1,162 |
$55K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
649 |
629 |
$25K |
| 71045 |
Radiologic examination, chest; single view |
4,435 |
3,791 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
1,390 |
1,261 |
$8K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
210 |
192 |
$7K |
| 70486 |
|
30 |
30 |
$934.78 |
| 71250 |
|
33 |
27 |
$928.84 |
| 73630 |
|
64 |
63 |
$635.02 |
| 73030 |
|
48 |
47 |
$460.93 |
| 73130 |
|
29 |
27 |
$278.18 |
| 74018 |
|
50 |
44 |
$229.74 |
| 73610 |
|
14 |
14 |
$188.30 |
| 72100 |
|
16 |
16 |
$164.76 |
| 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) |
1,307 |
1,168 |
$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 |
527 |
510 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
26 |
24 |
$0.00 |