| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
571 |
548 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
673 |
546 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
50 |
48 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
28 |
26 |
$837.55 |
| R0070 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen |
71 |
54 |
$88.61 |
| Q0092 |
Set-up portable x-ray equipment |
410 |
282 |
$58.54 |
| R0075 |
Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen |
41 |
32 |
$0.00 |