| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,012 |
1,004 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
227 |
227 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
696 |
692 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
796 |
765 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$255.32 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$120.61 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
29 |
29 |
$0.12 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
171 |
78 |
$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) |
430 |
413 |
$0.00 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
33 |
33 |
$0.00 |