| Code | Description | Claims | Beneficiaries | Total Paid |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
32 |
32 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
44 |
42 |
$342.06 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$107.55 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
14 |
14 |
$0.00 |
| 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) |
53 |
53 |
$0.00 |