| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
5,068 |
3,615 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,768 |
1,725 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
421 |
411 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
147 |
145 |
$4K |
| 76641 |
|
86 |
84 |
$2K |
| 71250 |
|
49 |
47 |
$871.77 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
43 |
43 |
$541.07 |
| 74018 |
|
113 |
87 |
$425.79 |
| 76770 |
|
14 |
14 |
$242.53 |
| 73630 |
|
48 |
41 |
$210.57 |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
14 |
14 |
$209.96 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
13 |
13 |
$209.66 |
| 73560 |
|
29 |
26 |
$129.54 |
| 72170 |
|
14 |
13 |
$60.20 |
| 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) |
1,280 |
1,234 |
$0.00 |