| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
948 |
846 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
77 |
77 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
156 |
155 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
188 |
188 |
$612.11 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$295.38 |
| 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) |
18 |
14 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
28 |
28 |
$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) |
61 |
54 |
$0.00 |