| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
3,132 |
2,733 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
723 |
599 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
3,885 |
2,683 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
144 |
123 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
27 |
25 |
$868.04 |
| 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) |
435 |
351 |
$0.00 |