| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
523 |
490 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
285 |
281 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
16 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
25 |
25 |
$935.65 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
12 |
$894.44 |
| 73030 |
|
16 |
13 |
$125.74 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
33 |
33 |
$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) |
64 |
63 |
$0.00 |