| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
449 |
426 |
$31K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
269 |
259 |
$11K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
91 |
91 |
$9K |
| 71045 |
Radiologic examination, chest; single view |
909 |
865 |
$4K |
| 71046 |
Radiologic examination, chest; 2 views |
550 |
533 |
$3K |
| 70496 |
|
15 |
13 |
$1K |
| 70498 |
|
15 |
13 |
$1K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
30 |
29 |
$988.78 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
17 |
13 |
$539.51 |
| 71250 |
|
12 |
12 |
$280.29 |
| 73630 |
|
12 |
12 |
$93.40 |