| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
469 |
437 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
847 |
756 |
$36K |
| 71046 |
Radiologic examination, chest; 2 views |
1,478 |
1,343 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,354 |
1,053 |
$12K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
100 |
95 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
38 |
37 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
30 |
26 |
$1K |
| 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) |
326 |
224 |
$0.00 |