| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
263 |
259 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
556 |
530 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
695 |
597 |
$2K |
| 74018 |
|
211 |
184 |
$749.97 |
| 71046 |
Radiologic examination, chest; 2 views |
112 |
111 |
$354.66 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
492 |
397 |
$0.00 |