| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
2,652 |
2,055 |
$13K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
197 |
171 |
$11K |
| 70450 |
Computed tomography, head or brain; without contrast material |
83 |
71 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
115 |
111 |
$937.93 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
12 |
$839.12 |
| 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) |
266 |
222 |
$1.08 |
| 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) |
60 |
50 |
$0.22 |