| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,546 |
1,466 |
$90K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,149 |
1,118 |
$51K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
493 |
485 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
4,554 |
4,008 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
2,051 |
1,915 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
112 |
111 |
$10K |
| 73630 |
|
381 |
320 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
151 |
138 |
$4K |
| 73610 |
|
164 |
152 |
$2K |
| 73130 |
|
182 |
139 |
$2K |
| 74018 |
|
246 |
205 |
$954.28 |
| 73030 |
|
68 |
51 |
$841.98 |
| 73110 |
|
44 |
38 |
$416.14 |
| 73502 |
|
50 |
37 |
$341.51 |
| 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) |
494 |
434 |
$0.00 |