| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
409 |
245 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
37 |
37 |
$957.74 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
16 |
$857.67 |
| 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) |
16 |
16 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
14 |
14 |
$0.00 |