| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
965 |
926 |
$43K |
| 70450 |
Computed tomography, head or brain; without contrast material |
164 |
160 |
$11K |
| 71045 |
Radiologic examination, chest; single view |
1,262 |
1,098 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
777 |
763 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
80 |
80 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
26 |
26 |
$3K |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
132 |
117 |
$0.00 |