| Code | Description | Claims | Beneficiaries | Total Paid |
| 71250 |
|
541 |
540 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
4,234 |
3,225 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,135 |
1,128 |
$4K |
| 75574 |
|
26 |
26 |
$787.94 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$324.45 |
| 74018 |
|
67 |
59 |
$220.30 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
35 |
35 |
$0.13 |
| 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) |
112 |
112 |
$0.04 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
12 |
12 |
$0.00 |