| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
54 |
47 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
596 |
514 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
88 |
80 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
136 |
130 |
$797.07 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
25 |
$711.33 |
| 72110 |
|
65 |
63 |
$485.92 |
| 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) |
101 |
87 |
$0.00 |
| G9340 |
Final report documented that dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study |
100 |
86 |
$0.00 |