| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
247 |
181 |
$995.26 |
| 71046 |
Radiologic examination, chest; 2 views |
194 |
191 |
$661.46 |
| 70450 |
Computed tomography, head or brain; without contrast material |
49 |
49 |
$594.94 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$196.26 |
| 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) |
13 |
12 |
$0.00 |