| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
1,490 |
1,411 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
121 |
118 |
$8K |
| 70450 |
Computed tomography, head or brain; without contrast material |
168 |
160 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
412 |
366 |
$2K |
| 74019 |
|
262 |
242 |
$2K |
| 73630 |
|
135 |
118 |
$849.89 |
| 73562 |
|
94 |
86 |
$642.32 |
| 73610 |
|
77 |
74 |
$592.22 |
| 73110 |
|
56 |
52 |
$375.10 |
| 73130 |
|
55 |
51 |
$361.00 |
| 73030 |
|
52 |
50 |
$355.87 |
| 74018 |
|
23 |
17 |
$143.76 |
| 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) |
91 |
79 |
$0.00 |