| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
163 |
157 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
84 |
81 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
923 |
611 |
$6K |
| 70450 |
Computed tomography, head or brain; without contrast material |
81 |
77 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
201 |
154 |
$2K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
14 |
14 |
$1K |
| 74018 |
|
102 |
76 |
$534.32 |
| 99053 |
|
137 |
118 |
$0.00 |