| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
771 |
768 |
$28K |
| 70450 |
|
1,328 |
1,267 |
$14K |
| 71045 |
|
3,917 |
3,574 |
$10K |
| 71046 |
|
1,350 |
1,338 |
$8K |
| 71275 |
|
95 |
95 |
$3K |
| 72125 |
|
26 |
26 |
$428.47 |
| 71250 |
|
54 |
37 |
$205.02 |
| 74176 |
|
17 |
12 |
$97.82 |
| G9756 |
Surgical procedures that included the use of silicone oil |
179 |
160 |
$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) |
707 |
528 |
$0.00 |
| 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 |
85 |
82 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
167 |
148 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
494 |
370 |
$0.00 |