| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
360 |
332 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
95 |
92 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
74 |
69 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
73 |
66 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
215 |
195 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
286 |
224 |
$824.11 |
| 76376 |
|
195 |
161 |
$692.08 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$340.01 |
| 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) |
36 |
27 |
$0.00 |