| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
628 |
609 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
253 |
212 |
$687.40 |
| 71046 |
Radiologic examination, chest; 2 views |
90 |
90 |
$383.65 |
| 73564 |
|
13 |
13 |
$45.34 |
| 73030 |
|
12 |
12 |
$26.31 |
| 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) |
210 |
171 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
210 |
157 |
$0.00 |