| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
457 |
428 |
$21K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,019 |
931 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
237 |
221 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
3,138 |
2,150 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
1,271 |
1,166 |
$7K |
| 76376 |
|
1,722 |
1,313 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
157 |
140 |
$3K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
85 |
84 |
$2K |
| 73630 |
|
71 |
56 |
$322.77 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
12 |
12 |
$273.81 |
| 73610 |
|
59 |
45 |
$227.50 |
| 73130 |
|
42 |
31 |
$192.20 |
| 73564 |
|
46 |
31 |
$190.91 |
| 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) |
30 |
24 |
$0.00 |