| Code | Description | Claims | Beneficiaries | Total Paid |
| 71045 |
Radiologic examination, chest; single view |
7,995 |
3,917 |
$35K |
| 70450 |
Computed tomography, head or brain; without contrast material |
146 |
134 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
804 |
772 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
77 |
63 |
$4K |
| 74018 |
|
194 |
131 |
$755.84 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
15 |
12 |
$699.97 |
| 99223 |
Prolong inpt eval add15 m |
15 |
15 |
$579.08 |
| 93976 |
|
15 |
14 |
$248.64 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
20 |
13 |
$160.27 |
| 71048 |
|
20 |
16 |
$137.86 |
| 73562 |
|
15 |
13 |
$129.56 |
| 73630 |
|
15 |
13 |
$38.40 |
| 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) |
235 |
199 |
$0.00 |
| G9557 |
Final reports for ct, cta, mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found |
14 |
14 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
114 |
106 |
$0.00 |