| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
679 |
633 |
$39K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
479 |
447 |
$24K |
| 71045 |
Radiologic examination, chest; single view |
753 |
659 |
$4K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
25 |
25 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
453 |
402 |
$3K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
61 |
55 |
$2K |
| 76801 |
|
42 |
41 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$718.88 |
| 71250 |
|
16 |
12 |
$514.16 |
| 74018 |
|
52 |
42 |
$276.71 |