| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
3,737 |
2,342 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
483 |
416 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
100 |
90 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
627 |
555 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
120 |
99 |
$2K |
| 74018 |
|
104 |
64 |
$307.20 |
| 93971 |
|
28 |
25 |
$271.82 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
14 |
$271.70 |
| 73630 |
|
16 |
14 |
$43.50 |
| 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) |
144 |
121 |
$0.01 |