| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
470 |
455 |
$34K |
| 70450 |
Computed tomography, head or brain; without contrast material |
352 |
336 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
1,137 |
1,087 |
$9K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
68 |
61 |
$3K |
| 71045 |
Radiologic examination, chest; single view |
405 |
353 |
$2K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
27 |
24 |
$2K |
| 73630 |
|
63 |
55 |
$806.58 |
| 72100 |
|
17 |
17 |
$393.75 |