| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
103 |
103 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
432 |
355 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
14 |
14 |
$123.61 |
| 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) |
89 |
89 |
$0.00 |