| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
1,563 |
1,046 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
173 |
116 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
162 |
119 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
739 |
592 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
59 |
44 |
$2K |
| 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) |
75 |
61 |
$0.00 |