| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
6,116 |
5,008 |
$26K |
| 70450 |
Computed tomography, head or brain; without contrast material |
741 |
658 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
184 |
162 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,315 |
1,146 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
26 |
$1K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$423.36 |
| 74018 |
|
18 |
13 |
$121.35 |
| 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) |
1,321 |
1,087 |
$0.00 |