| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
129 |
128 |
$393.41 |
| 71045 |
Radiologic examination, chest; single view |
137 |
126 |
$331.50 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$181.92 |
| 70450 |
Computed tomography, head or brain; without contrast material |
15 |
15 |
$22.61 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
20 |
17 |
$0.00 |
| 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) |
26 |
19 |
$0.00 |
| 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) |
16 |
14 |
$0.00 |