| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
667 |
657 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
110 |
108 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
450 |
442 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
25 |
25 |
$2K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$929.64 |
| 73630 |
|
29 |
29 |
$233.00 |
| 73564 |
|
12 |
12 |
$132.36 |
| G9638 |
Final reports without 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) |
298 |
295 |
$0.00 |