| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
1,050 |
737 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
684 |
571 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
13 |
$626.00 |
| 70450 |
Computed tomography, head or brain; without contrast material |
21 |
16 |
$351.80 |
| 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) |
41 |
33 |
$0.00 |