| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
396 |
391 |
$23K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
236 |
231 |
$18K |
| 71045 |
Radiologic examination, chest; single view |
3,127 |
2,968 |
$18K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
356 |
352 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
288 |
286 |
$9K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
135 |
131 |
$7K |
| 72131 |
|
109 |
107 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
361 |
356 |
$3K |
| 72128 |
|
58 |
58 |
$3K |
| 71250 |
|
37 |
37 |
$1K |
| 73630 |
|
128 |
126 |
$955.74 |
| 73610 |
|
45 |
45 |
$309.80 |
| 73030 |
|
13 |
13 |
$104.47 |