| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
537 |
505 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$894.62 |
| 71046 |
Radiologic examination, chest; 2 views |
31 |
31 |
$177.58 |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
27 |
$130.09 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
29 |
28 |
$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) |
164 |
154 |
$0.00 |