| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
142 |
139 |
$13K |
| 70450 |
Computed tomography, head or brain; without contrast material |
193 |
188 |
$8K |
| 71045 |
Radiologic examination, chest; single view |
848 |
660 |
$6K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
54 |
54 |
$5K |
| 71046 |
Radiologic examination, chest; 2 views |
565 |
450 |
$5K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
13 |
13 |
$1K |
| 74018 |
|
178 |
145 |
$1K |
| 73130 |
|
26 |
24 |
$299.99 |
| 73610 |
|
13 |
13 |
$136.42 |
| 73630 |
|
14 |
13 |
$122.64 |
| 99053 |
|
207 |
193 |
$0.00 |