| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
787 |
752 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
1,410 |
976 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
139 |
127 |
$725.79 |
| 76770 |
|
12 |
12 |
$535.16 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
12 |
$214.01 |
| 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) |
174 |
149 |
$0.00 |