| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
512 |
484 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
56 |
55 |
$515.39 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$153.87 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$126.06 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
19 |
17 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
16 |
14 |
$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) |
82 |
72 |
$0.00 |