| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
122 |
120 |
$7K |
| 70450 |
Computed tomography, head or brain; without contrast material |
254 |
242 |
$6K |
| 71045 |
Radiologic examination, chest; single view |
591 |
522 |
$3K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
40 |
40 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
103 |
102 |
$803.06 |
| 71250 |
|
14 |
14 |
$560.27 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
26 |
26 |
$533.44 |