| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
404 |
385 |
$20K |
| 78452 |
Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress |
350 |
339 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,775 |
2,508 |
$10K |
| 78815 |
Positron emission tomography (PET) for limited area imaging |
190 |
182 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,412 |
1,334 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
162 |
155 |
$7K |
| 78227 |
|
129 |
128 |
$3K |
| 76536 |
|
75 |
73 |
$2K |
| 73630 |
|
178 |
163 |
$2K |
| 71271 |
|
32 |
30 |
$979.48 |
| 71250 |
|
30 |
30 |
$813.12 |
| 74018 |
|
138 |
129 |
$685.21 |
| 73610 |
|
43 |
41 |
$517.06 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$353.78 |
| 78454 |
|
12 |
12 |
$301.04 |
| 93971 |
|
13 |
12 |
$171.69 |
| 78580 |
|
13 |
12 |
$164.69 |
| 73130 |
|
14 |
13 |
$148.14 |
| 73030 |
|
13 |
13 |
$123.87 |
| 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) |
162 |
154 |
$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 |
161 |
155 |
$0.00 |