| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
565 |
534 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
514 |
410 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$362.54 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
12 |
$209.24 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$48.62 |
| 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) |
15 |
13 |
$0.00 |