| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
62 |
62 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
258 |
255 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
520 |
400 |
$1K |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
12 |
12 |
$296.21 |
| 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) |
12 |
12 |
$0.00 |