| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
2,779 |
2,566 |
$188K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
1,235 |
1,119 |
$141K |
| 70498 |
|
619 |
564 |
$66K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,113 |
1,045 |
$50K |
| 71045 |
Radiologic examination, chest; single view |
4,026 |
3,429 |
$19K |
| 71046 |
Radiologic examination, chest; 2 views |
3,258 |
2,900 |
$18K |
| 72129 |
|
287 |
234 |
$14K |
| 72132 |
|
282 |
230 |
$13K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
359 |
280 |
$12K |
| 74174 |
|
192 |
154 |
$11K |
| 70486 |
|
151 |
133 |
$5K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
26 |
26 |
$2K |
| 73590 |
|
128 |
109 |
$1K |
| 72170 |
|
134 |
105 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
28 |
24 |
$1K |
| 70496 |
|
15 |
14 |
$954.15 |
| 73564 |
|
46 |
37 |
$564.01 |
| 73610 |
|
44 |
40 |
$559.03 |
| 73030 |
|
28 |
26 |
$303.54 |
| 73560 |
|
30 |
26 |
$294.32 |
| 73130 |
|
29 |
24 |
$282.45 |
| 73090 |
|
12 |
12 |
$109.80 |
| 73502 |
|
12 |
12 |
$74.91 |
| G1004 |
Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program |
15 |
12 |
$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) |
19 |
14 |
$0.00 |