| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
299 |
294 |
$890.55 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$479.96 |
| 71045 |
Radiologic examination, chest; single view |
198 |
175 |
$290.23 |
| 70450 |
Computed tomography, head or brain; without contrast material |
25 |
25 |
$212.14 |
| 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) |
12 |
12 |
$0.00 |