| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
1,485 |
1,304 |
$91K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
922 |
861 |
$40K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
165 |
152 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
3,378 |
2,474 |
$14K |
| 71046 |
Radiologic examination, chest; 2 views |
1,613 |
1,517 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
127 |
122 |
$4K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
61 |
59 |
$2K |
| 72110 |
|
41 |
41 |
$711.27 |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
13 |
12 |
$660.33 |
| 72131 |
|
13 |
12 |
$412.11 |
| 73562 |
|
32 |
27 |
$356.38 |
| 73030 |
|
29 |
26 |
$278.90 |
| 73630 |
|
27 |
27 |
$269.30 |
| 73110 |
|
13 |
12 |
$125.45 |
| 74018 |
|
17 |
14 |
$80.86 |