| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
526 |
496 |
$33K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
542 |
524 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
3,629 |
2,931 |
$15K |
| 71046 |
Radiologic examination, chest; 2 views |
1,427 |
1,364 |
$9K |
| 73630 |
|
317 |
290 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
82 |
80 |
$3K |
| 73030 |
|
210 |
190 |
$2K |
| 74018 |
|
475 |
397 |
$2K |
| 73610 |
|
137 |
132 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 73562 |
|
46 |
38 |
$688.16 |
| 73130 |
|
45 |
40 |
$394.12 |
| 72100 |
|
27 |
27 |
$360.49 |
| 73564 |
|
17 |
17 |
$203.44 |
| 72110 |
|
13 |
13 |
$197.72 |
| 73502 |
|
21 |
18 |
$150.84 |
| 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) |
43 |
40 |
$0.00 |