| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
350 |
339 |
$3K |
| 70551 |
Magnetic resonance imaging, brain; without contrast material |
136 |
134 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
37 |
37 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
1,051 |
834 |
$2K |
| 70496 |
|
12 |
12 |
$617.06 |
| 70498 |
|
14 |
14 |
$425.18 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
16 |
16 |
$277.06 |
| 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) |
72 |
56 |
$0.00 |