| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 72125 |
Computed tomography, cervical spine; without contrast material |
651 |
644 |
$28K |
| 71045 |
Radiologic examination, chest; single view |
4,046 |
3,791 |
$25K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
313 |
310 |
$19K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
276 |
274 |
$15K |
| 70450 |
Computed tomography, head or brain; without contrast material |
463 |
459 |
$15K |
| 72131 |
|
306 |
301 |
$13K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
152 |
150 |
$12K |
| 72128 |
|
252 |
251 |
$11K |
| 71046 |
Radiologic examination, chest; 2 views |
654 |
643 |
$5K |
| 73630 |
|
198 |
197 |
$2K |
| 73610 |
|
176 |
174 |
$1K |
| 73030 |
|
79 |
79 |
$654.46 |
| 73590 |
|
52 |
51 |
$396.86 |
| 73564 |
|
24 |
24 |
$280.11 |
| 73560 |
|
28 |
28 |
$244.59 |
| 73130 |
|
12 |
12 |
$92.17 |
| 73502 |
|
12 |
12 |
$74.57 |