| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
34 |
32 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
19 |
19 |
$936.02 |
| 71045 |
Radiologic examination, chest; single view |
43 |
39 |
$314.06 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
16 |
16 |
$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) |
38 |
38 |
$0.00 |