| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
557 |
526 |
$32K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
451 |
425 |
$21K |
| 71046 |
Radiologic examination, chest; 2 views |
1,051 |
1,025 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
1,375 |
1,240 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
12 |
$1K |
| 93970 |
|
39 |
39 |
$598.22 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
12 |
$454.86 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
15 |
15 |
$259.85 |
| 99152 |
|
32 |
25 |
$170.21 |
| 93971 |
|
14 |
14 |
$109.83 |
| 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) |
155 |
137 |
$0.00 |