| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
106 |
99 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,614 |
1,418 |
$4K |
| 70450 |
Computed tomography, head or brain; without contrast material |
492 |
453 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
26 |
$105.38 |
| 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) |
200 |
166 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
14 |
12 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
12 |
12 |
$0.00 |