| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
498 |
494 |
$17K |
| 71045 |
Radiologic examination, chest; single view |
1,709 |
1,561 |
$5K |
| 70450 |
Computed tomography, head or brain; without contrast material |
544 |
527 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
167 |
163 |
$775.35 |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
13 |
13 |
$182.24 |
| 72125 |
Computed tomography, cervical spine; without contrast material |
15 |
15 |
$143.74 |