| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,333 |
949 |
$32K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,756 |
1,278 |
$23K |
| 71045 |
Radiologic examination, chest; single view |
6,468 |
4,071 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
357 |
306 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
135 |
90 |
$1K |
| 72100 |
|
329 |
293 |
$1K |
| 73560 |
|
238 |
183 |
$690.86 |
| 73030 |
|
51 |
42 |
$230.72 |
| 73502 |
|
59 |
42 |
$214.05 |
| 73630 |
|
43 |
40 |
$207.30 |
| 72131 |
|
39 |
26 |
$199.31 |
| 93880 |
|
12 |
12 |
$177.75 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
17 |
14 |
$174.64 |
| 72040 |
|
27 |
26 |
$108.69 |
| 74018 |
|
12 |
12 |
$56.07 |
| 72070 |
|
15 |
13 |
$49.19 |
| G9638 |
Final reports without 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) |
976 |
696 |
$0.00 |