| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74183 |
|
287 |
286 |
$26K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
214 |
211 |
$12K |
| A9581 |
Injection, gadoxetate disodium, 1 ml |
12 |
12 |
$735.00 |
| 71045 |
Radiologic examination, chest; single view |
164 |
136 |
$272.97 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
126 |
126 |
$93.77 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
209 |
205 |
$0.28 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
26 |
26 |
$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) |
81 |
80 |
$0.00 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
119 |
49 |
$0.00 |