| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,573 |
2,416 |
$152K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
2,788 |
2,636 |
$120K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,172 |
1,091 |
$110K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
1,031 |
1,011 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
4,106 |
3,710 |
$16K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
433 |
375 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
2,304 |
2,177 |
$13K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
85 |
79 |
$4K |
| 72131 |
|
96 |
90 |
$3K |
| 73630 |
|
342 |
315 |
$3K |
| 74018 |
|
500 |
469 |
$2K |
| 73610 |
|
148 |
138 |
$2K |
| 93976 |
|
50 |
41 |
$1K |
| 73130 |
|
86 |
83 |
$855.79 |
| 71250 |
|
36 |
36 |
$821.89 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
18 |
12 |
$562.29 |
| 73030 |
|
29 |
26 |
$279.72 |
| 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) |
1,635 |
1,438 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
588 |
553 |
$0.00 |