| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
508 |
493 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
875 |
704 |
$2K |
| 71250 |
|
234 |
229 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
55 |
54 |
$740.23 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
30 |
30 |
$731.78 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
28 |
28 |
$314.14 |
| 70450 |
Computed tomography, head or brain; without contrast material |
27 |
27 |
$278.37 |
| 76376 |
|
13 |
13 |
$20.12 |
| 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) |
90 |
83 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
26 |
26 |
$0.00 |