| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
963 |
934 |
$28K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,866 |
1,788 |
$19K |
| 71045 |
Radiologic examination, chest; single view |
2,980 |
2,652 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
323 |
305 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
640 |
625 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
85 |
81 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
70 |
68 |
$663.64 |
| 74018 |
|
45 |
41 |
$115.81 |
| 73630 |
|
12 |
12 |
$104.44 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
437 |
368 |
$0.00 |