| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93880 |
|
254 |
254 |
$18K |
| 93888 |
|
241 |
241 |
$10K |
| 93931 |
|
242 |
242 |
$7K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
69 |
69 |
$2K |
| 93979 |
|
52 |
52 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
57 |
56 |
$839.65 |
| 93970 |
|
24 |
24 |
$676.56 |
| 93925 |
|
12 |
12 |
$477.44 |
| 93976 |
|
14 |
14 |
$385.91 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
12 |
12 |
$261.77 |
| 71045 |
Radiologic examination, chest; single view |
46 |
43 |
$170.82 |
| 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) |
46 |
40 |
$0.00 |