| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
94 |
90 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
488 |
430 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
56 |
54 |
$4K |
| 71010 |
|
89 |
71 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
109 |
96 |
$965.25 |
| 71020 |
|
44 |
39 |
$548.00 |
| 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) |
44 |
27 |
$0.00 |
| G9638 |
Final reports without 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) |
82 |
68 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
29 |
28 |
$0.00 |