| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
267 |
267 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
2,543 |
1,789 |
$10K |
| 70450 |
Computed tomography, head or brain; without contrast material |
459 |
446 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
516 |
492 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
41 |
41 |
$874.53 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$541.60 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
15 |
$482.39 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
14 |
14 |
$327.10 |
| 73630 |
|
15 |
13 |
$37.95 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
18 |
12 |
$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) |
22 |
14 |
$0.00 |