| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
1,800 |
1,705 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
19 |
19 |
$2K |
| 93979 |
|
19 |
19 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$280.92 |
| 70450 |
Computed tomography, head or brain; without contrast material |
34 |
32 |
$261.88 |
| 71046 |
Radiologic examination, chest; 2 views |
21 |
21 |
$205.10 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
13 |
13 |
$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) |
81 |
74 |
$0.00 |