| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
158 |
146 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
79 |
75 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
727 |
610 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
32 |
29 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
199 |
177 |
$950.22 |
| 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) |
120 |
111 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
46 |
46 |
$0.00 |