| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
745 |
688 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
538 |
529 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
86 |
82 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
56 |
55 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
16 |
$1K |
| 73630 |
|
69 |
64 |
$553.18 |
| 73610 |
|
38 |
37 |
$324.29 |
| 73030 |
|
13 |
13 |
$132.98 |
| 73130 |
|
12 |
12 |
$112.27 |
| 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) |
484 |
477 |
$0.00 |