| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
351 |
335 |
$22K |
| 70450 |
Computed tomography, head or brain; without contrast material |
472 |
454 |
$18K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
78 |
71 |
$7K |
| 71250 |
|
123 |
117 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
49 |
49 |
$2K |
| 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) |
144 |
118 |
$0.00 |