| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,435 |
1,423 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,617 |
1,603 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
3,458 |
3,310 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,827 |
1,814 |
$10K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
252 |
250 |
$8K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
103 |
103 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
70 |
70 |
$940.93 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
25 |
$243.05 |
| 73562 |
|
19 |
12 |
$99.57 |
| 73610 |
|
17 |
16 |
$76.25 |
| 73630 |
|
35 |
26 |
$70.83 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
826 |
614 |
$0.00 |