| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
4,176 |
3,086 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,398 |
1,380 |
$6K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
81 |
81 |
$1K |
| 73630 |
|
292 |
248 |
$581.53 |
| 93990 |
|
26 |
26 |
$145.75 |
| 73564 |
|
29 |
24 |
$134.97 |
| 73610 |
|
42 |
37 |
$127.62 |
| 71250 |
|
37 |
37 |
$121.84 |
| 73030 |
|
55 |
48 |
$121.56 |
| 73502 |
|
25 |
25 |
$42.50 |
| 73110 |
|
14 |
13 |
$27.03 |
| 73562 |
|
19 |
13 |
$18.48 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
110 |
103 |
$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) |
151 |
138 |
$0.00 |