| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
206 |
200 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
1,879 |
1,702 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
128 |
127 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
536 |
524 |
$3K |
| 71250 |
|
80 |
79 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
56 |
56 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
12 |
$1K |
| 71271 |
|
22 |
22 |
$688.60 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
15 |
14 |
$604.60 |
| 73630 |
|
49 |
46 |
$450.15 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
13 |
13 |
$426.99 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
13 |
$255.88 |
| 73610 |
|
15 |
14 |
$229.60 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
117 |
116 |
$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) |
196 |
186 |
$0.00 |