| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
433 |
408 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$751.84 |
| 70450 |
Computed tomography, head or brain; without contrast material |
13 |
13 |
$652.92 |
| 71046 |
Radiologic examination, chest; 2 views |
14 |
14 |
$134.65 |
| 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) |
344 |
338 |
$0.00 |