| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
402 |
368 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
2,253 |
1,782 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
199 |
179 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
355 |
302 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
103 |
98 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
495 |
475 |
$2K |
| 74018 |
|
221 |
155 |
$762.90 |
| 72100 |
|
16 |
16 |
$76.12 |
| 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) |
366 |
309 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
367 |
310 |
$0.00 |