| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
606 |
604 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
34 |
32 |
$916.72 |
| 71045 |
Radiologic examination, chest; single view |
238 |
218 |
$416.44 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$71.93 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
189 |
185 |
$0.35 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
151 |
59 |
$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) |
281 |
277 |
$0.00 |