| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
1,570 |
1,446 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
690 |
683 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
66 |
63 |
$596.37 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$153.87 |
| 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) |
835 |
808 |
$0.00 |