| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
448 |
396 |
$8K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
155 |
131 |
$7K |
| 71046 |
Radiologic examination, chest; 2 views |
1,084 |
877 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,320 |
974 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
42 |
37 |
$2K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
25 |
24 |
$391.18 |
| 74018 |
|
52 |
40 |
$238.36 |
| 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) |
441 |
368 |
$6.52 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
133 |
119 |
$0.00 |