| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$845.13 |
| 71045 |
Radiologic examination, chest; single view |
30 |
23 |
$205.96 |
| 71046 |
Radiologic examination, chest; 2 views |
17 |
17 |
$159.99 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
20 |
20 |
$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) |
20 |
20 |
$0.00 |