| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,890 |
1,792 |
$119K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
783 |
746 |
$79K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,324 |
1,262 |
$60K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
798 |
779 |
$32K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
670 |
635 |
$22K |
| 71045 |
Radiologic examination, chest; single view |
3,753 |
3,464 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
1,317 |
1,235 |
$8K |
| 70486 |
|
98 |
91 |
$3K |
| 73130 |
|
198 |
185 |
$2K |
| 73610 |
|
140 |
133 |
$2K |
| 73630 |
|
176 |
167 |
$2K |
| 73030 |
|
126 |
124 |
$1K |
| 74018 |
|
83 |
79 |
$346.00 |
| 73110 |
|
12 |
12 |
$124.59 |
| 73590 |
|
13 |
12 |
$118.86 |
| 73502 |
|
14 |
14 |
$38.14 |
| 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) |
15 |
14 |
$0.00 |