| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,015 |
961 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
816 |
789 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
1,692 |
1,555 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
615 |
599 |
$4K |
| 73630 |
|
81 |
70 |
$844.97 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
26 |
$767.74 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$394.48 |
| 73562 |
|
25 |
24 |
$328.75 |
| 73610 |
|
14 |
13 |
$179.63 |
| 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) |
300 |
280 |
$0.01 |