| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
685 |
644 |
$27K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
345 |
325 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
800 |
718 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,457 |
2,226 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
778 |
743 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
81 |
77 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
60 |
55 |
$1K |
| 74018 |
|
244 |
199 |
$779.94 |
| 76801 |
|
17 |
13 |
$483.30 |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
16 |
12 |
$311.36 |
| 73630 |
|
28 |
27 |
$146.04 |
| 73610 |
|
27 |
25 |
$138.98 |
| 72100 |
|
13 |
13 |
$68.49 |
| 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) |
675 |
554 |
$0.00 |
| G9340 |
Final report documented that 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 |
693 |
572 |
$0.00 |