| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
49 |
48 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
93 |
91 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
386 |
357 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
207 |
206 |
$1K |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
14 |
14 |
$0.00 |
| 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) |
58 |
55 |
$0.00 |