| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
712 |
679 |
$37K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
392 |
381 |
$16K |
| 71045 |
Radiologic examination, chest; single view |
1,838 |
1,635 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
917 |
903 |
$5K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
26 |
26 |
$551.99 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
16 |
$482.66 |
| 74018 |
|
15 |
15 |
$66.48 |
| 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) |
252 |
225 |
$0.00 |