| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
2,321 |
1,784 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
243 |
194 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
102 |
101 |
$505.39 |
| 74018 |
|
55 |
45 |
$193.19 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$154.74 |
| 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) |
41 |
37 |
$0.00 |