| Code | Description | Claims | Beneficiaries | Total Paid |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
68 |
67 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
68 |
67 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
180 |
178 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
224 |
218 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$1K |
| 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) |
338 |
324 |
$0.00 |