| Code | Description | Claims | Beneficiaries | Total Paid |
| 70450 |
Computed tomography, head or brain; without contrast material |
701 |
686 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
336 |
297 |
$680.88 |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
12 |
12 |
$381.34 |
| 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) |
36 |
28 |
$0.00 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
29 |
25 |
$0.00 |