| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
2,223 |
1,729 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
434 |
413 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
28 |
28 |
$431.86 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$325.52 |
| 71046 |
Radiologic examination, chest; 2 views |
78 |
78 |
$253.81 |
| 74018 |
|
36 |
27 |
$116.97 |
| 73130 |
|
42 |
38 |
$114.36 |
| 73610 |
|
33 |
27 |
$68.95 |
| 73630 |
|
29 |
27 |
$54.71 |
| G9638 |
Final reports without 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) |
72 |
47 |
$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) |
1,278 |
851 |
$0.00 |