| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74183 |
|
112 |
112 |
$11K |
| A9581 |
Injection, gadoxetate disodium, 1 ml |
14 |
14 |
$735.00 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
30 |
30 |
$494.05 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$113.57 |
| 71045 |
Radiologic examination, chest; single view |
17 |
16 |
$43.40 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
73 |
73 |
$0.20 |
| 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) |
27 |
27 |
$0.00 |
| G9327 |
Ct studies performed reported to a radiation dose index registry that is capable of collecting at a minimum all necessary data elements |
12 |
12 |
$0.00 |