| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
121 |
120 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
70 |
67 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
402 |
363 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
64 |
50 |
$553.88 |
| 71020 |
|
23 |
21 |
$270.00 |
| G9638 |
Final reports without 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) |
89 |
73 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
42 |
40 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
14 |
12 |
$0.00 |