| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
1,699 |
1,402 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
345 |
290 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
13 |
$270.73 |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
28 |
$189.17 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
12 |
$146.83 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
12 |
12 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
12 |
12 |
$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) |
62 |
56 |
$0.00 |