| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
2,432 |
2,279 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
735 |
592 |
$2K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$374.21 |
| 70496 |
|
12 |
12 |
$257.32 |
| 70498 |
|
12 |
12 |
$132.89 |
| 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) |
241 |
195 |
$0.00 |
| 3100F |
|
12 |
12 |
$0.00 |