| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
872 |
735 |
$35K |
| 70450 |
Computed tomography, head or brain; without contrast material |
1,261 |
1,045 |
$32K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
611 |
490 |
$20K |
| 71045 |
Radiologic examination, chest; single view |
1,754 |
1,482 |
$8K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
100 |
77 |
$6K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
160 |
146 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
294 |
289 |
$2K |
| 71250 |
|
44 |
43 |
$2K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
29 |
28 |
$1K |
| 70486 |
|
25 |
25 |
$960.70 |
| 73130 |
|
18 |
18 |
$160.54 |
| 73610 |
|
12 |
12 |
$87.47 |
| 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) |
33 |
30 |
$0.00 |