| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
670 |
631 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
311 |
300 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,123 |
1,031 |
$4K |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
33 |
25 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
287 |
279 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
14 |
13 |
$371.98 |
| 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) |
117 |
106 |
$0.00 |