| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
58 |
53 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
672 |
603 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$333.30 |
| 71046 |
Radiologic examination, chest; 2 views |
63 |
56 |
$290.77 |
| 70450 |
Computed tomography, head or brain; without contrast material |
17 |
15 |
$161.50 |
| 76642 |
|
18 |
14 |
$122.99 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
210 |
173 |
$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) |
193 |
158 |
$0.00 |