| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
318 |
292 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,307 |
1,115 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
105 |
90 |
$4K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
68 |
63 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
497 |
476 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
63 |
61 |
$2K |
| 72110 |
|
104 |
97 |
$838.11 |
| 72100 |
|
45 |
41 |
$336.75 |
| 74018 |
|
75 |
67 |
$264.33 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
13 |
$144.05 |
| 72050 |
|
15 |
14 |
$128.91 |
| 73502 |
|
14 |
13 |
$84.11 |
| 73562 |
|
18 |
14 |
$65.33 |
| 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 |
195 |
150 |
$0.00 |
| 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) |
201 |
155 |
$0.00 |