| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
45 |
45 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
36 |
34 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
311 |
286 |
$3K |
| 71010 |
|
43 |
35 |
$544.00 |
| 71020 |
|
31 |
29 |
$422.00 |
| 71046 |
Radiologic examination, chest; 2 views |
48 |
44 |
$421.18 |
| G9638 |
Final reports without 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) |
80 |
62 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
34 |
31 |
$0.00 |