| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
205 |
201 |
$11K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
155 |
154 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
1,170 |
1,104 |
$8K |
| 71046 |
Radiologic examination, chest; 2 views |
667 |
664 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
46 |
46 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
15 |
14 |
$1K |
| 73630 |
|
109 |
107 |
$968.32 |
| 76536 |
|
28 |
26 |
$572.47 |
| 71250 |
|
12 |
12 |
$475.52 |
| 72114 |
|
32 |
32 |
$417.98 |
| 73030 |
|
40 |
40 |
$359.64 |
| 73564 |
|
27 |
27 |
$292.09 |
| 73610 |
|
28 |
26 |
$216.90 |
| 74018 |
|
25 |
25 |
$194.64 |
| 72110 |
|
12 |
12 |
$170.83 |
| 73130 |
|
14 |
14 |
$132.00 |
| 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) |
456 |
447 |
$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 |
106 |
105 |
$0.00 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
324 |
318 |
$0.00 |