| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
702 |
652 |
$46K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,134 |
1,033 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
6,772 |
5,358 |
$25K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
370 |
347 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
3,382 |
2,966 |
$19K |
| 76376 |
|
473 |
392 |
$2K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
27 |
25 |
$700.47 |
| 73630 |
|
84 |
77 |
$575.00 |
| 73130 |
|
13 |
12 |
$76.09 |
| 73610 |
|
17 |
14 |
$70.84 |
| 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) |
145 |
115 |
$0.00 |