| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
113 |
105 |
$9K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
112 |
103 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
427 |
383 |
$3K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
60 |
54 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
23 |
15 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
189 |
152 |
$939.74 |
| 73630 |
|
18 |
13 |
$187.87 |
| 74018 |
|
27 |
25 |
$147.69 |
| 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) |
374 |
287 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
168 |
148 |
$0.00 |