| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
888 |
850 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,582 |
1,473 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
52 |
52 |
$1K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
74 |
73 |
$1K |
| 70498 |
|
28 |
28 |
$657.13 |
| 70496 |
|
16 |
16 |
$360.15 |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
42 |
$232.85 |
| 93970 |
|
12 |
12 |
$224.65 |
| 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) |
219 |
152 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
38 |
26 |
$0.00 |