| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
169 |
162 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,213 |
1,067 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
612 |
590 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
102 |
93 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
146 |
137 |
$2K |
| 72110 |
|
239 |
233 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
40 |
40 |
$1K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
13 |
$684.10 |
| 72050 |
|
49 |
49 |
$314.22 |
| 74018 |
|
69 |
54 |
$307.73 |
| 72100 |
|
27 |
26 |
$147.84 |
| 73030 |
|
16 |
15 |
$73.66 |
| 72190 |
|
13 |
13 |
$40.29 |
| 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) |
287 |
246 |
$0.00 |
| 7025F |
|
13 |
13 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
302 |
259 |
$0.00 |