| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
273 |
271 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
246 |
241 |
$13K |
| 71045 |
Radiologic examination, chest; single view |
830 |
794 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
42 |
41 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
134 |
133 |
$1K |
| 71250 |
|
30 |
27 |
$774.49 |
| 74018 |
|
28 |
28 |
$190.35 |
| 73630 |
|
18 |
18 |
$141.63 |
| 73130 |
|
16 |
16 |
$139.37 |
| 73110 |
|
12 |
12 |
$95.85 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
37 |
37 |
$0.00 |
| 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) |
57 |
57 |
$0.00 |