| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
205 |
187 |
$12K |
| 70450 |
Computed tomography, head or brain; without contrast material |
407 |
355 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
1,021 |
899 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
1,180 |
1,036 |
$3K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
12 |
12 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
29 |
24 |
$715.56 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$526.88 |
| 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) |
46 |
41 |
$0.00 |