| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
25,471 |
19,573 |
$61K |
| 70450 |
Computed tomography, head or brain; without contrast material |
3,499 |
2,781 |
$35K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
519 |
438 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
302 |
259 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
1,755 |
1,553 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
50 |
43 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
31 |
30 |
$1K |
| 76377 |
|
72 |
58 |
$485.97 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
15 |
12 |
$178.07 |
| 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) |
134 |
108 |
$0.00 |