| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
956 |
924 |
$51K |
| 71046 |
Radiologic examination, chest; 2 views |
1,464 |
1,379 |
$13K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
145 |
138 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
856 |
742 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
56 |
55 |
$2K |
| 70450 |
Computed tomography, head or brain; without contrast material |
22 |
16 |
$2K |
| 71250 |
|
37 |
36 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
70 |
70 |
$1K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 73630 |
|
63 |
55 |
$898.87 |
| 74018 |
|
108 |
107 |
$844.09 |
| 73610 |
|
28 |
27 |
$521.72 |
| 73030 |
|
34 |
31 |
$481.47 |
| 73130 |
|
25 |
25 |
$320.82 |
| 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) |
213 |
190 |
$0.00 |
| G9322 |
Count of previous ct and cardiac nuclear medicine (myocardial perfusion or infarct avid imaging) studies not documented in the 12-month period prior to the current study, reason not given |
66 |
63 |
$0.00 |