| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
336 |
291 |
$15K |
| 71045 |
Radiologic examination, chest; single view |
1,096 |
937 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
149 |
129 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
189 |
161 |
$1K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
25 |
25 |
$886.24 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
17 |
16 |
$333.59 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
13 |
13 |
$328.85 |
| 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) |
2,742 |
1,858 |
$0.00 |
| 3341F |
|
12 |
12 |
$0.00 |
| 7025F |
|
13 |
13 |
$0.00 |