| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
434 |
415 |
$5K |
| 71045 |
Radiologic examination, chest; single view |
1,664 |
1,247 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
236 |
235 |
$1K |
| 76770 |
|
81 |
81 |
$791.03 |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
14 |
14 |
$381.71 |
| 74178 |
|
14 |
14 |
$212.04 |
| 74018 |
|
16 |
13 |
$42.89 |
| G9638 |
Final reports without 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) |
14 |
13 |
$0.00 |