| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
732 |
726 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
139 |
138 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
46 |
46 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
453 |
441 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
17 |
17 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
40 |
39 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
12 |
12 |
$391.80 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
12 |
12 |
$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) |
40 |
40 |
$0.00 |