| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,010 |
960 |
$10K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
240 |
240 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
1,800 |
1,614 |
$4K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
25 |
25 |
$461.23 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
12 |
12 |
$298.43 |
| 71046 |
Radiologic examination, chest; 2 views |
53 |
53 |
$266.99 |
| 71250 |
|
24 |
24 |
$213.15 |
| 76770 |
|
14 |
14 |
$132.15 |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$83.35 |
| G9551 |
Final reports for imaging studies without an incidentally found lesion noted |
51 |
44 |
$0.00 |
| G1003 |
Clinical decision support mechanism medicalis, as defined by the medicare appropriate use criteria program |
16 |
12 |
$0.00 |
| 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) |
402 |
289 |
$0.00 |