| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71045 |
Radiologic examination, chest; single view |
1,513 |
1,310 |
$3K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
13 |
12 |
$256.45 |
| 70450 |
Computed tomography, head or brain; without contrast material |
60 |
52 |
$178.19 |
| 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) |
101 |
89 |
$0.00 |
| G9756 |
Surgical procedures that included the use of silicone oil |
12 |
12 |
$0.00 |