| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
88 |
88 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
826 |
785 |
$5K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
75 |
74 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
66 |
65 |
$2K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
43 |
43 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
179 |
177 |
$2K |
| 72131 |
|
15 |
15 |
$868.44 |
| 72128 |
|
14 |
14 |
$812.90 |
| 73030 |
|
13 |
13 |
$131.43 |
| 73610 |
|
14 |
12 |
$108.65 |