| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
292 |
267 |
$16K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
221 |
211 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,601 |
1,231 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
504 |
485 |
$3K |
| 76830 |
Ultrasound, transvaginal |
54 |
40 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
53 |
40 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$657.02 |
| 74018 |
|
124 |
102 |
$439.00 |
| 73630 |
|
34 |
29 |
$286.34 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
19 |
14 |
$211.06 |
| 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) |
21 |
18 |
$0.00 |