| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
153 |
150 |
$659.88 |
| 71045 |
Radiologic examination, chest; single view |
347 |
326 |
$298.88 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
50 |
50 |
$293.46 |
| 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) |
98 |
74 |
$0.00 |