| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
140 |
139 |
$9K |
| 70450 |
Computed tomography, head or brain; without contrast material |
175 |
174 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
626 |
619 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
656 |
633 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
54 |
$3K |
| 73630 |
|
70 |
70 |
$547.81 |
| 73610 |
|
39 |
37 |
$309.93 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$285.90 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
14 |
14 |
$247.00 |
| 73110 |
|
29 |
27 |
$228.93 |
| 73130 |
|
12 |
12 |
$107.25 |
| 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) |
318 |
315 |
$0.00 |
| G9638 |
Final reports without 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) |
290 |
287 |
$0.00 |