| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
618 |
573 |
$23K |
| 70450 |
Computed tomography, head or brain; without contrast material |
223 |
199 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
1,048 |
877 |
$4K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
30 |
29 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
94 |
94 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
121 |
99 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
25 |
$3K |
| 74183 |
|
12 |
12 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
275 |
267 |
$1K |
| 71271 |
|
26 |
26 |
$469.50 |
| 71250 |
|
15 |
15 |
$200.40 |
| 73630 |
|
14 |
13 |
$122.40 |
| 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) |
322 |
262 |
$0.00 |