| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
580 |
575 |
$17K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
105 |
105 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
169 |
159 |
$341.60 |
| 71046 |
Radiologic examination, chest; 2 views |
35 |
35 |
$226.38 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
306 |
299 |
$0.12 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
185 |
87 |
$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) |
167 |
163 |
$0.00 |