| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
393 |
379 |
$20K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
241 |
237 |
$11K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
262 |
254 |
$10K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
91 |
89 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
654 |
631 |
$3K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
30 |
30 |
$2K |
| 73630 |
|
120 |
116 |
$1K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
152 |
146 |
$880.01 |
| 74018 |
|
13 |
13 |
$44.32 |