| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,584 |
1,240 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
1,091 |
875 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
95 |
88 |
$4K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
23 |
15 |
$947.62 |
| 73030 |
|
54 |
37 |
$548.45 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$234.52 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
17 |
17 |
$223.90 |
| 72100 |
|
13 |
12 |
$160.04 |
| 71250 |
|
12 |
12 |
$125.40 |
| 74018 |
|
15 |
13 |
$60.80 |
| 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) |
18 |
15 |
$0.00 |