| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
110 |
109 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
57 |
57 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
350 |
347 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
28 |
28 |
$258.45 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
154 |
154 |
$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) |
154 |
153 |
$0.00 |