| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
554 |
447 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
56 |
53 |
$487.12 |
| 71046 |
Radiologic examination, chest; 2 views |
39 |
39 |
$178.94 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$139.29 |
| 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) |
453 |
331 |
$0.00 |