| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
109 |
108 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
255 |
251 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
528 |
479 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
285 |
277 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
39 |
$939.61 |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
15 |
15 |
$389.52 |
| 74018 |
|
13 |
13 |
$29.16 |
| 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) |
212 |
166 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
16 |
15 |
$0.00 |