| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,199 |
1,096 |
$78K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
573 |
542 |
$26K |
| 71045 |
Radiologic examination, chest; single view |
2,360 |
2,081 |
$10K |
| 71046 |
Radiologic examination, chest; 2 views |
641 |
608 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
43 |
43 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
24 |
$958.81 |
| 73610 |
|
37 |
26 |
$767.45 |
| 73630 |
|
26 |
26 |
$243.28 |
| 73030 |
|
13 |
12 |
$133.76 |
| 73130 |
|
12 |
12 |
$101.42 |