| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
72 |
59 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
259 |
189 |
$774.32 |
| 71046 |
Radiologic examination, chest; 2 views |
83 |
74 |
$474.18 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
12 |
$447.80 |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
14 |
14 |
$223.69 |
| 73130 |
|
21 |
15 |
$210.77 |
| 74230 |
|
14 |
13 |
$38.10 |
| 74018 |
|
20 |
17 |
$33.22 |
| 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) |
128 |
81 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
14 |
12 |
$0.00 |