| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
859 |
615 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
443 |
430 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
69 |
66 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
15 |
$128.43 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$97.14 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$87.34 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
14 |
14 |
$0.00 |
| 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) |
16 |
15 |
$0.00 |