| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
1,625 |
1,410 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
201 |
184 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
287 |
276 |
$1K |
| 76770 |
|
13 |
12 |
$203.77 |
| 74018 |
|
70 |
55 |
$153.73 |
| 93970 |
|
12 |
12 |
$110.08 |
| 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) |
112 |
94 |
$0.00 |
| 3100F |
|
16 |
15 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
112 |
94 |
$0.00 |
| 93880 |
|
14 |
12 |
$0.00 |