| Code | Description | Claims | Beneficiaries | Total Paid |
| 71046 |
Radiologic examination, chest; 2 views |
2,128 |
1,714 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
366 |
265 |
$5K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
197 |
181 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,544 |
1,017 |
$4K |
| 74018 |
|
127 |
92 |
$529.39 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
19 |
14 |
$285.78 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
16 |
12 |
$175.53 |
| 73564 |
|
24 |
16 |
$129.02 |
| 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) |
281 |
191 |
$0.00 |