| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,716 |
869 |
$37K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
860 |
409 |
$23K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
501 |
258 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
3,334 |
1,564 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,331 |
663 |
$6K |
| 76770 |
|
388 |
178 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
190 |
75 |
$3K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
109 |
42 |
$2K |
| 71020 |
|
166 |
96 |
$1K |
| 71010 |
|
421 |
164 |
$1K |
| 71250 |
|
51 |
17 |
$724.19 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
48 |
27 |
$544.68 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
38 |
15 |
$438.00 |
| 74018 |
|
190 |
66 |
$421.69 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
23 |
12 |
$384.69 |
| 73630 |
|
59 |
24 |
$272.58 |
| 76775 |
|
41 |
12 |
$257.38 |
| 73610 |
|
45 |
13 |
$160.00 |
| 93976 |
|
56 |
19 |
$111.92 |
| 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) |
3,205 |
1,246 |
$0.00 |