| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
875 |
804 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
51 |
46 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
1,035 |
863 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
257 |
215 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
19 |
16 |
$333.18 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
27 |
24 |
$242.08 |
| 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) |
37 |
26 |
$0.00 |