| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
220 |
205 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
599 |
561 |
$1K |
| 70496 |
|
13 |
13 |
$322.78 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
15 |
15 |
$300.58 |
| 70498 |
|
12 |
12 |
$234.84 |
| 74018 |
|
71 |
66 |
$164.51 |
| 71046 |
Radiologic examination, chest; 2 views |
32 |
31 |
$123.36 |
| 0042T |
|
12 |
12 |
$0.00 |
| 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) |
40 |
39 |
$0.00 |