| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
822 |
774 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
267 |
227 |
$822.75 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
58 |
57 |
$369.98 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
16 |
$317.61 |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
52 |
$227.88 |
| 72131 |
|
12 |
12 |
$99.65 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
35 |
35 |
$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) |
88 |
79 |
$0.00 |