| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
443 |
425 |
$30K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
375 |
369 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
829 |
812 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
65 |
60 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
414 |
395 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
51 |
50 |
$2K |
| 73610 |
|
55 |
54 |
$767.93 |
| 73630 |
|
30 |
29 |
$305.05 |
| 72100 |
|
13 |
13 |
$162.29 |
| 73030 |
|
13 |
12 |
$127.65 |
| 73130 |
|
14 |
12 |
$126.34 |