| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
40 |
38 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
235 |
225 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
106 |
106 |
$1K |
| 70450 |
Computed tomography, head or brain; without contrast material |
28 |
28 |
$943.43 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
14 |
14 |
$819.52 |
| 71250 |
|
25 |
25 |
$773.87 |
| 72100 |
|
13 |
13 |
$124.52 |
| 73562 |
|
21 |
14 |
$112.38 |
| 72220 |
|
12 |
12 |
$91.08 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
30 |
30 |
$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) |
152 |
152 |
$0.00 |