| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
357 |
337 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
211 |
201 |
$10K |
| 71045 |
Radiologic examination, chest; single view |
966 |
917 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
12 |
12 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
134 |
134 |
$971.32 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
18 |
18 |
$600.18 |
| 73630 |
|
50 |
48 |
$482.43 |
| 73030 |
|
27 |
27 |
$264.39 |
| 73610 |
|
19 |
18 |
$263.67 |
| 73560 |
|
24 |
24 |
$228.66 |
| 74018 |
|
13 |
13 |
$83.19 |