| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,280 |
1,208 |
$67K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
853 |
813 |
$34K |
| 71046 |
Radiologic examination, chest; 2 views |
1,815 |
1,729 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
2,200 |
2,017 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
49 |
47 |
$2K |
| 73610 |
|
40 |
38 |
$548.24 |
| 73562 |
|
18 |
13 |
$153.00 |
| 73110 |
|
13 |
13 |
$144.30 |
| 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) |
399 |
366 |
$0.00 |