| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
203 |
203 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
2,024 |
1,788 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
407 |
395 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
150 |
146 |
$895.78 |
| 73562 |
|
26 |
12 |
$123.31 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$96.46 |
| 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) |
119 |
86 |
$0.00 |