| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
639 |
617 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
319 |
311 |
$21K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
106 |
97 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
131 |
130 |
$7K |
| 71250 |
|
114 |
113 |
$5K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$678.50 |
| 76376 |
|
12 |
12 |
$101.28 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
53 |
52 |
$0.00 |
| 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) |
235 |
205 |
$0.00 |