| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
768 |
663 |
$34K |
| 71045 |
Radiologic examination, chest; single view |
1,645 |
1,303 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
599 |
521 |
$20K |
| 71046 |
Radiologic examination, chest; 2 views |
1,561 |
1,355 |
$18K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
26 |
24 |
$897.86 |
| 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) |
2,087 |
1,436 |
$761.16 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
12 |
$474.90 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
13 |
12 |
$424.60 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
12 |
$264.63 |
| 76830 |
Ultrasound, transvaginal |
15 |
13 |
$245.51 |
| 73610 |
|
12 |
12 |
$67.60 |
| 73630 |
|
12 |
12 |
$54.08 |
| G9321 |
Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies documented in the 12-month period prior to the current study |
871 |
613 |
$0.00 |