| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,247 |
665 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
125 |
94 |
$363.07 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
20 |
12 |
$303.48 |
| 70450 |
Computed tomography, head or brain; without contrast material |
51 |
12 |
$218.78 |
| 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) |
16 |
13 |
$0.00 |