| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
1,839 |
1,677 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
434 |
426 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
50 |
49 |
$971.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
54 |
54 |
$625.21 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
14 |
13 |
$171.76 |
| 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) |
457 |
446 |
$0.00 |