| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
60 |
59 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
93 |
92 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
346 |
325 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
145 |
144 |
$1K |
| 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) |
180 |
170 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
97 |
94 |
$0.00 |