| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
936 |
859 |
$54K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
927 |
881 |
$38K |
| 71275 |
Computed tomographic angiography, chest, with contrast material |
158 |
142 |
$15K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
390 |
373 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
1,427 |
1,310 |
$7K |
| 71045 |
Radiologic examination, chest; single view |
2,119 |
1,752 |
$7K |
| 73610 |
|
94 |
56 |
$2K |
| 71250 |
|
100 |
97 |
$2K |
| 73630 |
|
115 |
89 |
$1K |
| 72125 |
Computed tomography, cervical spine; without contrast material |
37 |
25 |
$1K |
| 73110 |
|
34 |
27 |
$410.77 |
| 73130 |
|
22 |
12 |
$280.87 |
| 73030 |
|
13 |
12 |
$129.28 |
| 74018 |
|
13 |
13 |
$49.77 |