| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
818 |
812 |
$64K |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
543 |
535 |
$29K |
| 74178 |
|
312 |
311 |
$25K |
| 71250 |
|
419 |
419 |
$20K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
298 |
296 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
347 |
296 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
119 |
117 |
$614.77 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
379 |
376 |
$104.93 |