| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
196 |
186 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
526 |
481 |
$1K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$231.13 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
12 |
12 |
$124.82 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$56.76 |
| 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) |
39 |
29 |
$0.00 |