| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
13,192 |
11,546 |
$66K |
| 70450 |
Computed tomography, head or brain; without contrast material |
792 |
760 |
$17K |
| 71046 |
Radiologic examination, chest; 2 views |
2,451 |
2,326 |
$14K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
124 |
119 |
$7K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
64 |
64 |
$4K |
| 74018 |
|
130 |
127 |
$868.84 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
16 |
15 |
$545.15 |
| 73630 |
|
51 |
50 |
$332.47 |
| 73562 |
|
27 |
27 |
$173.04 |
| 73130 |
|
12 |
12 |
$83.45 |
| 99053 |
|
2,861 |
2,435 |
$39.44 |
| 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) |
388 |
324 |
$0.00 |