| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
1,370 |
1,316 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
434 |
399 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
147 |
137 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,765 |
1,513 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
77 |
72 |
$3K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
71 |
68 |
$3K |
| 73630 |
|
104 |
96 |
$731.90 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
16 |
16 |
$621.59 |
| 73562 |
|
67 |
59 |
$355.43 |
| 73030 |
|
49 |
43 |
$299.70 |
| 93971 |
|
15 |
14 |
$288.58 |
| 73610 |
|
41 |
37 |
$219.77 |
| 74018 |
|
50 |
38 |
$162.29 |
| 93970 |
|
12 |
12 |
$154.60 |
| 73130 |
|
27 |
24 |
$89.99 |
| 72110 |
|
14 |
12 |
$70.12 |
| 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) |
315 |
275 |
$0.00 |
| 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 |
330 |
287 |
$0.00 |