| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
1,152 |
1,114 |
$49K |
| 70450 |
Computed tomography, head or brain; without contrast material |
774 |
733 |
$47K |
| 71046 |
Radiologic examination, chest; 2 views |
1,271 |
1,211 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
1,701 |
1,563 |
$6K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
39 |
39 |
$4K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
90 |
90 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
47 |
47 |
$2K |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
54 |
53 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
24 |
$854.10 |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$822.39 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
16 |
16 |
$485.32 |
| 73630 |
|
45 |
42 |
$434.77 |
| 76536 |
|
12 |
12 |
$409.49 |
| 73610 |
|
18 |
17 |
$220.24 |
| 74018 |
|
26 |
24 |
$145.77 |
| 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) |
13 |
13 |
$0.00 |