| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
47 |
46 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
269 |
256 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
212 |
210 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
26 |
26 |
$894.98 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
136 |
131 |
$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) |
202 |
192 |
$0.00 |