74177 is the CPT code for: Ct scan of abdomen and pelvis with contrast. In 2024, 23,893 providers billed 74177 3,593,132 times, with an estimated $287.2M paid by Medicare.
Medicare's 2026 Physician Fee Schedule national rate for 74177 is $300.27 in the office setting. National amounts before geographic adjustment — your locality's rate differs slightly.
What Medicare actually paid per service in 2024, on average: $79.93 (observed payment across all settings and modifiers — not a fee-schedule rate).
The top 5 billers nationally, ranked by 2024 Medicare service volume.
| # | Provider | Specialty | Location | Services | Est. Medicare paid |
|---|---|---|---|---|---|
| 1 | Sanjay Saini, MD | Diagnostic Radiology | Boston, MA | 3,779 | $696K |
| 2 | Chad Engel, M.D. | Diagnostic Radiology | Tampa, FL | 3,301 | $339K |
| 3 | Carolinas Imaging Services LLC | Independent Diagnostic Testing Facility (IDTF) | Denver, NC | 2,079 | $447K |
| 4 | Amol Katkar, M.D. | Diagnostic Radiology | Fort Worth, TX | 1,865 | $126K |
| 5 | Ronald Goodwich, MD | Diagnostic Radiology | Fort Myers, FL | 1,802 | $415K |
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