| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
1,499 |
1,302 |
$3K |
| 76770 |
|
91 |
91 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
319 |
309 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
460 |
456 |
$1K |
| 74018 |
|
115 |
114 |
$980.38 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
46 |
44 |
$605.98 |
| 93971 |
|
13 |
12 |
$48.08 |
| 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) |
14 |
12 |
$0.00 |
| G9638 |
Final reports without 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) |
200 |
170 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
186 |
175 |
$0.00 |