| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
309 |
307 |
$16K |
| 70450 |
Computed tomography, head or brain; without contrast material |
160 |
159 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$997.87 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
26 |
$760.13 |
| 71045 |
Radiologic examination, chest; single view |
296 |
278 |
$645.19 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$553.03 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
50 |
43 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
32 |
30 |
$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) |
276 |
236 |
$0.00 |