| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
30 |
29 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
25 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
12 |
12 |
$405.02 |
| 71045 |
Radiologic examination, chest; single view |
38 |
37 |
$256.87 |
| 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) |
354 |
350 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
202 |
200 |
$0.00 |