| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
104 |
104 |
$3K |
| 70450 |
Computed tomography, head or brain; without contrast material |
340 |
328 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
1,040 |
966 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
26 |
$133.39 |
| 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) |
130 |
95 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
16 |
13 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
17 |
13 |
$0.00 |