| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
195 |
172 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
1,427 |
1,373 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
1,475 |
1,257 |
$6K |
| 73610 |
|
248 |
213 |
$2K |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
51 |
51 |
$1K |
| 74018 |
|
181 |
167 |
$983.61 |
| 76770 |
|
32 |
32 |
$871.64 |
| 73630 |
|
84 |
72 |
$720.96 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
13 |
$642.92 |
| 73110 |
|
58 |
51 |
$438.46 |
| 73130 |
|
27 |
25 |
$187.28 |
| G9326 |
Ct studies performed not reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements, reason not given |
22 |
17 |
$0.00 |
| G9329 |
Dicom format image data available to non-affiliated external healthcare facilities or entities on a secure, media free, reciprocally searchable basis with patient authorization for at least a 12-month period after the study not documented in final report, reason not given |
22 |
17 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
22 |
17 |
$0.00 |
| G9319 |
Imaging study not named according to standardized nomenclature, reason not given |
22 |
17 |
$0.00 |
| 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) |
19 |
14 |
$0.00 |